H PENA MD NORTH MAIN MEDICAL AND SURGICAL CLINIC ASSOC
Osteopathic Medicine at Main St, Fort Worth, TX

License number
Texas C7083
Category
Osteopathic Medicine
Type
General Practice
Owner
Name: HERIBERTO PENA MD
Title: PRESIDENT
Phone: (817) 625-2791
Address
Address
3301 NORTH Main St, Fort Worth, TX 76106
National Provider ID: 1477607240
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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H. Pena, M.D. North Main Medical & Surgical Clinic, Assoc

3301 N Main St, Fort Worth, TX 76106

Industry:
Medical Doctor's Office
Registration:
Sep 15, 1969
Phone:
(817) 625-2791 (Phone)
State ID:
80003103
Business type:
Professional Association
President , Treasurer , Director , Member , Secretary , Vice-President:
Heriberto Pena (President , Treasurer , Director , Member , Secretary , Vice-President)

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