Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NATHAN JAMAL PENA, IDC
ActiveNATHAN JAMAL PENA, IDC is a Independent Duty Corpsman healthcare provider located in FORT WORTH, Texas. NPI 1134576390 is currently active in the NPPES registry. Verify at CMS.
Independent Duty Corpsman · FORT WORTH, TX
Registration Details
- NPI Number
- 1134576390
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 18, 2016 (10.199351615957 yrs)
- Last Updated
- Jan 31, 2025
Practice Information
- Address
-
1711 D STFORT WORTH, TX, 76127Browse TX providers · Browse ZIP 76127
- Phone
- 8177825933
- Primary Specialty
-
Independent Duty Corpsman
1710I1002X
- Additional Specialty
- Independent Duty Corpsman
Other Independent Duty Corpsman Providers in FORT WORTH, TX
| Name | Credential | NPI |
|---|---|---|
| MR. JAMES KEVIN CAMPBELL | — | 1356318315 |
| RICHARD BRIAN BUTORAC | IDC | 1669427290 |
| JOHN DAVID BRABNER | IDC | 1124235445 |
| MR. RICHARD THOMAS GILBERT | — | 1609168996 |
| MICHAEL A RIVARD | IDC | 1417389461 |
| JACOB ALAN SEEKINS | IDC SMDR | 1487079356 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.