Doctor Name: | RITA SONIA PENA |
NPI Number: | 1154603496 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.M.T |
License Number: | MT037728 |
Business Practice Address: | 3001 Wildflower Dr Suite 611 Bryan, TX - 778023061 |
Business Phone Number: | 9797744343 |
Business Fax Number: | |
Mailing Address: | 810 Rio Grande Ln, BRYAN |
State: | TX |
Postal Code: | 778012821 |
Phone Number: | 9794225428 |
Fax Number: | |
NPI Enumeration Date: | 09/13/2011 |
NPI Last Update Date: | 09/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | MT037728 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |