H PENA MD NORTH MAIN MEDICAL AND SURGICAL CLINIC ASSOC – NPI #1477607240
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

H PENA MD NORTH MAIN MEDICAL AND SURGICAL CLINIC ASSOC is a provider located in FORT WORTH, TX. NPPES has assigned the NPI number 1477607240 to H PENA MD NORTH MAIN MEDICAL AND SURGICAL CLINIC ASSOC on January 22, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for H PENA MD NORTH MAIN MEDICAL AND SURGICAL CLINIC ASSOC below.

NPI Profile for
H PENA MD NORTH MAIN MEDICAL AND SURGICAL CLINIC ASSOC

NPI Number
1477607240
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
H PENA MD NORTH MAIN MEDICAL AND SURGICAL CLINIC ASSOC
Primary location
3301 NORTH MAIN STREET
FORT WORTH, TX 76106
Phone: (817) 625-2791 Fax: (817) 740-1550
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
HERIBERTO PENA
PRESIDENT
Phone: (817) 625-2791
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)		 TX C7083

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.