MARCO PENA CSFA
NPI 1447500467
Physician Assistant - Surgical in Decatur, TX
Active since September 17, 2012
About Marco Pena Csfa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARCO PENA CSFA (NPI 1447500467) is an individual surgical provider in Decatur, Texas and active in the NPI registry since September 2012.
NPPES Registry Identity
NPI1447500467
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMARCO PENACredential: CSFA
Location Address284 COUNTY ROAD 4223Decatur, TX 76234-8339
Mailing Address284 County Road 4223Decatur, TX 76234-8339 · (214) 227-2457 · Fax (214) 764-0880
Phone(806) 535-9197
Sole ProprietorNo
Enumeration DateSeptember 17, 2012
Last NPPES UpdateApril 27, 20265 updates tracked since enumeration
NPPES CertifiedApril 27, 2026
✔ NPI 1447500467 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
284 COUNTY ROAD 4223, Decatur, TX 76234
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1447500467, enumerated as an "individual" on September 17, 2012.
The provider is located at 284 COUNTY ROAD 4223 DECATUR, TX 76234 and the phone number is (806) 535-9197.
Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.
