Imelda Pena, CPO
Imelda Pena, CPO is an Orthotist in Live Oak, Texas. Licensed in Texas. Registered with an NPI since 2023.
- Licensed in
- TX
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
12315 Judson Rd Ste 206Live Oak, TX 78233-3264
Phone: (210) 657-8100
Fax: (210) 657-8105
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Prosthetist (primary) | Taxonomy 224P00000X · Licence 1312 (TX) |
|---|---|
| Orthotist | Taxonomy 222Z00000X · Licence 1312 (TX) |
Record details
| NPI number | 1508639964 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CPO |
| Sole proprietor | No |
| NPI enumerated | November 6, 2023 |
| Last updated in NPPES | November 6, 2023 |
| Certification date | October 31, 2023 |
| Mailing address | 12315 Judson Rd Ste 206, Live Oak, TX 78233-3264 |
Other providers in Live Oak
-
Mr. Kevin Charles Matthews, LO
12315 Judson Rd #206, Live Oak, TX 78233-3277 · (210) 657-8100