NPIMap

Organization Active NPI

Richard C. Pena, M.D., P.a.

Doing business as The Arthritis Clinic of Texoma

  • Rheumatology Physician
  • Wichita Falls, TX
National Provider Identifier
1548346323
Registry record updated Oct 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
F1895 Issued in TX
Legal business name
RICHARD C. PENA, M.D., P.A.
Doing business as
The Arthritis Clinic of Texoma
Practice address
1607 Brook Ave
Wichita Falls, TX 76301-5619
Phone
(940) 767-5581
Fax
(940) 767-0046
NPI assigned
Oct 27, 2006
Last updated
Oct 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2008

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

Authorized official

Name
Dr. Richard C Pena, MDNPI 1275597304
Title
President/Owner
Phone
(940) 767-5581

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X F1895 TX Primary

Addresses

Primary practice location

1607 Brook Ave
Wichita Falls, TX 76301-5619

Mailing address

1607 Brook Ave
Wichita Falls, TX 76301-5619
Phone (940) 767-5581

Other identifiers 2

IdentifierTypeStateIssuer
1828790-01MedicaidTX
DN4511OtherGARAILROAD MEDICARE

Other names 1

  • The Arthritis Clinic of Texoma Doing business as

National Provider Directory

National Provider Directory

Locations

1607 Brook Ave
Wichita Falls, TX 76301
Phone (940) 692-1522

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224028800000",
    "number": "1548346323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 BROOK AVE",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763015619",
            "telephone_number": "940-767-5581",
            "fax_number": "940-767-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 BROOK AVE",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763015619",
            "telephone_number": "940-767-5581",
            "fax_number": "940-767-0046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD C. PENA, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2008-10-15",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "940-767-5581",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TX",
            "license": "F1895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1828790-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DN4511",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Arthritis Clinic of Texoma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wichita Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; 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.