| Doctor Name: | JASON PENA |
| NPI Number: | 1457584518 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 11236 Mile 17.5 North Elsa, TX - 78543 |
| Business Phone Number: | 9566505299 |
| Business Fax Number: | |
| Mailing Address: | 11236 Mile 17.5 North, ELSA |
| State: | TX |
| Postal Code: | 78543 |
| Phone Number: | 9566505299 |
| Fax Number: | |
| NPI Enumeration Date: | 08/24/2009 |
| NPI Last Update Date: | 12/09/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 341600000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). |