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Nathan Jamal Pena, IDC
Independent Duty Corpsman in Fort Worth, Texas
NPI 1134576390

Nathan Jamal Pena is a Independent Duty Corpsman based in Jacksonville, TX and is specialized in Independent Duty Corpsman. Nathan Jamal Pena practices in Fort Worth, TX and has the professional credentials of IDC. The NPI Number for Nathan Jamal Pena is 1134576390 and holds a License No. (Texas).

The current practice location address for Nathan Jamal Pena is 1711 D St, Fort Worth, TX and can be reached out via phone at 817-782-5933.

Location: 1711 D St, Fort Worth, TX, 32228-0028
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134576390
Provider Name
Nathan Jamal Pena
Credential
IDC
Provider Entity Type
Individual
Gender
Male
Address
1711 D St, Fort Worth, TX, 32228-0028
Phone Number
817-782-5933
Fax Number
Provider Enumeration Date
05/18/2016
Last Update Date
02/15/2025
institution
Provider Business Practice Location Address Details
Address
1711 D St
City
Fort Worth
State
Texas
Zip
76127
Phone Number
817-782-5933
Fax Number
person
Provider Business Mailing Address Details
Address
1711 D St
City
Fort Worth
State
Texas
Zip
76127
Phone Number
817-782-5933
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
Independent Duty Corpsman
Taxonomy
1710I1002X
License No.
()
Definition
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
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