| Doctor Name: | ADRIANA ELIZABETH PENA |
| NPI Number: | 1811360969 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 38612 |
| Business Practice Address: | 408 Cerrito Dr Zapata, TX - 780764402 |
| Business Phone Number: | 9567405252 |
| Business Fax Number: | |
| Mailing Address: | Po Box 15135, ZAPATA |
| State: | TX |
| Postal Code: | 780765135 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 11/10/2015 |
| NPI Last Update Date: | 11/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2355S0801X |
| License Number: | 38612 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Specialist/Technologist |
| Taxonomy Specialization: | Speech-Language Assistant |
| Taxonomy Definition: | |