Nathan Jamal Pena, IDC
Nathan Jamal Pena, IDC is a Military Health Care Provider in Fort Worth, Texas. Registered with an NPI since 2016.
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
1711 D StFort Worth, TX 76127
Phone: (817) 782-5933
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Independent Duty Corpsman (primary) | Taxonomy 1710I1002X |
|---|---|
| Military Health Care Provider | Taxonomy 171000000X |
Record details
| NPI number | 1134576390 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | IDC |
| Sole proprietor | No |
| NPI enumerated | May 18, 2016 |
| Last updated in NPPES | January 31, 2025 |
| Certification date | January 30, 2025 |
| Mailing address | Po Box 280028, Bldg 1320, Jacksonville, FL 32228-0028 |
Other providers in Fort Worth
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Christine Lee Anderson, MD
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-
William Resto-Rivera, MD
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-
Suzanne Marie Stafford
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