P Praxis·MD
● Active Type 1 · Individual

Nathan Jamal Pena, IDC

Military Health Care Provider·Fort Worth, TX· NPI 1134576390 · Enumerated 2016 · 10 years on NPI
Pena is 1 of 7 military health care provider providers in Fort Worth and 1 of 70 in Texas.
NPI age
10 years
Enumerated 2016-05-18
Primary specialty
Military Health Care Provider
Plus 1 subspecialty
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2025-01-31
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 70 active military health care provider providers in Texas.

NPI age
10 years
↓ 5 yr below median (15 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
1
In the 2% of peers with subspecialties

NPI lifetime · 2016 → 2026

2016-05Enumerated in NPPES
2016 2026

Where they practice

Practice location
1711 D St
Fort Worth, TX 76127
📞 8177825933
Mailing address
Po Box 280028, Bldg 1320
Jacksonville, FL 322280028
📞 9042706292

Specialties

  • Military Health Care Provider Primary
    A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical...
    taxonomy 1710I1002X
  • Military Health Care Provider
    Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
    taxonomy 171000000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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