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Contact Information

HEATHER PENKA, MPH, ATC, LAT
820 HOLIDAY LN
NORTH RICHLAND HILLS, TX76180
 Phone: 817-547-7089
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2083S0010X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for HEATHER PENKA · (Female)

NPI # 1063057602
Status Active
Credentials MPH, ATC, LAT
Entity Individual
Enumeration date 11/07/2019
Last updated 11/07/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • TX License # AT5553
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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