Most Relevant Information
Provider Data
| NPI Number: | 1003520883 |
| Provider Name: | CLARISSA ANN PENA |
| Entity Type: | Individual |
| Taxonomy Code: | 332BX2000X |
| Specialty: | Durable Medical Equipment & Medical Supplies |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/06/2023 |
| Last Updated: | 01/06/2023 |
Provider Practice Location
3937 THOUSAND OAKS DR STE 105
SAN ANTONIO
TX
782171956
Practice Location Phone/Fax
| Phone: | 2108881281 |
| Fax: | 2108881283 |
Provider Mailing Location
3937 THOUSAND OAKS DR STE 105
SAN ANTONIO
TX
782171956
Provider Mailing Phone/Fax
| Phone: | 2108881281 |
| Fax: | 2108881283 |