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1104817220
JOSE OVIDIO PENA
SAN MARCOS, TX
NPI
1104817220
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: TX J5189)
Enumeration Date
2005-10-31
Last Update Date
2008-03-26
Business Address
-- JOSE OVIDIO PENA MD
1301 WONDER WORLD DR
SAN MARCOS, TX 78666-7533
Phone number: 512-753-3796
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Mailing Address
-- JOSE OVIDIO PENA MD
415 ENCHANTED OAK DR
DRIFTWOOD, TX 78619-4221
Phone number: 512-894-3694
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