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Jose R Pena III, DO
Family Medicine Physician in Waco, Texas
NPI 1407346927

Jose R Pena III is a Family Medicine Physician based in Waco, TX. Jose R Pena III practices in Waco, TX and has the professional credentials of DO. The NPI Number for Jose R Pena III is 1407346927 and holds a License No. S3041 (Texas).

The current practice location address for Jose R Pena III is 1600 Providence Dr, Waco, TX and can be reached out via phone at 254-313-4200 and via fax at 254-313-4531.

Location: 1600 Providence Dr, Waco, TX, 76707-2261
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407346927
Provider Name
Jose R Pena III
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1600 Providence Dr, Waco, TX, 76707-2261
Phone Number
254-313-4200
Fax Number
254-313-4531
Provider Enumeration Date
05/10/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1600 Providence Dr
City
Waco
State
Texas
Zip
76707-2261
Phone Number
254-313-4200
Fax Number
254-313-4531
person
Provider Business Mailing Address Details
Address
1600 Providence Dr
City
Waco
State
Texas
Zip
76707-2261
Phone Number
254-313-4200
Fax Number
254-313-4531
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
BP10063987 (Texas)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Addiction Medicine
Taxonomy
207QA0401X
License No.
S3041 (Texas)
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
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