Omar J Pena Lopez MD PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

N1058 Issued in TX

Legal business name

OMAR J PENA LOPEZ MD PA

Practice address

1403 Carnelian Dr
Weslaco, TX 78596-4388

Phone

(956) 307-8819

NPI assigned

Nov 30, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Omar J Pena, MD

Title

President

Phone

(956) 307-8819

Specialties & licenses 1

Addresses

Tax ID family

Omar J Pena Lopez MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Omar J Pena Lopez MD PA

  • Pediatrics Physician
  • Elsa, TX
  • NPI 1871859744
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Omar Jose Pena Lopez, M.D.

  • Pediatrics Physician
  • Elsa, TX
  • NPI 1619149762
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1134496474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 CARNELIAN DR",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785964388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 CARNELIAN DR",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785964388",
            "telephone_number": "956-307-8819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMAR J PENA LOPEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-30",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "OMAR",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-307-8819",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "N1058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Odp Management LLC
• Odp Management, LLC
• Olga L Gomez MD PA Childrens Clinic
• Mayra Sofia Olivares, MS, RDN, LD
• Cindy Olvera
• Jessica Ondoy, MS, FNP-BC, RN, CEN
• Optical Reflections PLLC
• Optimum Medical Service LLC
• Francis Stanley Orieukwu
• Criselda Ornelas, LCSW

• Pediatrics Physician in Weslaco, TX
• Providers in Weslaco, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.