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Nathan Pena, IDC — NPI 1134576390, Fort Worth, TX | NPI Central

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Nathan Pena, IDC

NPI 1134576390 · Independent Duty Corpsman · Fort Worth, TX

Provider details

NPI number: 1134576390
Entity type: Individual
Primary specialty: Independent Duty CorpsmanOther Service Providers
Credential: IDC
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Independent Duty CorpsmanPrimary1710I1002X
Other Service Providers
Military Health Care Provider171000000X
Other Service Providers

Practice location

1711 D St

Fort Worth, TX 76127

Phone: (817) 782-5933

Approximate (ZIP-level) locationGet directions

More TX providers

Mailing address

Po Box 280028

Jacksonville, FL 32228-0028

Registry dates

Enumerated: 2016-05-18
Last updated: 2025-01-31
Certified: 2025-01-30

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.