person
Ms. Candice Roseanne Pellegrino, MPAC,PA-C
Medical Physician Assistant in Round Rock, Texas
NPI 1922022938

Candice Roseanne Pellegrino is a Medical Physician Assistant based in Dallas, TX and is specialized in Medical. Candice Roseanne Pellegrino practices in Round Rock, TX and has the professional credentials of MPAC,PA-C. The NPI Number for Candice Roseanne Pellegrino is 1922022938 and holds a License No. PA01105 (Texas).

The current practice location address for Candice Roseanne Pellegrino is 302 University Blvd, Round Rock, TX and can be reached out via phone at 512-509-0200. You can also correspond with Candice Roseanne Pellegrino through the mailing address at PO BOX 844658, DALLAS, TX - 75284-4658 (mailing address contact number: 254-724-8800).

Location: 302 University Blvd, Round Rock, TX, 75284-4658
person
Provider Profile Details
NPI Number
1922022938
Provider Name
Candice Roseanne Pellegrino
Credential
MPAC,PA-C
Provider Entity Type
Individual
Gender
Female
Address
302 University Blvd, Round Rock, TX, 75284-4658
Phone Number
512-509-0200
Fax Number
Provider Enumeration Date
07/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1821185299 01 TX AGENCY (BVCAA, INC.) NPI
institution
Provider Business Practice Location Address Details
Address
302 University Blvd
City
State
Zip
78665-1032
Phone Number
512-509-0200
Fax Number
person
Provider Business Mailing Address Details
Address
302 University Blvd
City
State
Zip
78665-1032
Phone Number
512-509-0200
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA01105 (Texas)
Definition
Definition to come...
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