Dr. Cesar Pena MD, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

L7105 Issued in TX

Legal business name

DR. CESAR PENA MD, PA

Practice address

3232 Broadway Blvd Ste a
Garland, TX 75043-1728

Phone

(972) 905-5134

NPI assigned

Feb 27, 2018

Organization subpart

No

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

Authorized official

Name

Lisa Jackson

Title

Manager

Phone

(817) 565-3288

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Cesar B Pena-Rodriguez, MD

  • Internal Medicine Physician
  • Garland, TX
  • NPI 1073576435
  NPD (past)

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519689600000",
    "number": "1235630989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 LBJ FWY STE 425",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752432057",
            "telephone_number": "817-565-3288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3232 BROADWAY BLVD STE A",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750431728",
            "telephone_number": "972-905-5134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. CESAR PENA MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-27",
        "last_updated": "2018-02-27",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "817-565-3288"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L7105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1073576435",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura A Douglas, M.S., CCC/A
• Mary Virginia Douphrate, WHCNP
• Robert Jeffrey Doyle, D.P.M.
• Dr Brian Hembree & Associates Optometrists PC
• Dr. Andy Chiropractic
• Dr. Joel B. Young, P.C.
• Dr. Mary E. Long, D.C., P.a.
• Corene Drake, PT, DPT
• DRS Day & Day PC
• DRS Mobile Wound Specialists PLLC

• Internal Medicine Physician in Garland, TX
• Providers in Garland, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; 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.