Individual provider · Type 1 NPI
Nathan Jamal Pena, IDC
Independent Duty Corpsman · Fort Worth, TX
Practice location
1711 D St
Fort Worth, TX 76127
Mailing address
PO Box 280028, Bldg 1320
Jacksonville, FL 32228-0028
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military Health Care Provider | 171000000X | None listed |
| Independent Duty Corpsman Primary | 1710I1002X | None listed |
Independent Duty Corpsman: 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 services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and othe…
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About NPI 1134576390
Nathan Jamal Pena, IDC's National Provider Identifier is 1134576390, issued on May 18, 2016. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Fort Worth, TX. The record was last updated on Jan 31, 2025.