IndividualActive
Ernesto Pena-Tejeda
NPI 1619758620 · Surgical Physician Assistant · Memphis, TN
Provider details
- NPI number
- 1619758620
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 338914 (LA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1068 Cresthaven Rd Ste 500
Memphis, TN 38119-0846
Phone: (901) 866-8525
Approximate (ZIP-level) locationGet directions
Mailing address
1068 Cresthaven Rd Ste 300
Memphis, TN 38119-0809
Additional practice locations (1)
- 262 Danny Thomas PlMemphis, TN 38105-3678Phone: (901) 595-3300
Registry dates
- Enumerated
- 2023-10-06
- Last updated
- 2025-03-13
- Certified
- 2025-03-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.