Individual provider · Type 1 NPI

Candice Roseanne Pellegrino, M.P.A.C., P.A.-C

Medical Physician Assistant · Round Rock, TX

NPI number 1922022938 Active

Practice location

302 University Blvd
Round Rock, TX 78665-1032

Call (512) 509-0200 Map

Mailing address

PO Box 844658
Dallas, TX 75284-4658

Other practice locations

  • 100 Medical Cir, Sulphur Springs, TX 75482-2138 · (903) 438-8330

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA01105 (TX)
Medical Physician Assistant Primary 363AM0700XPA01105 (TX)

Medical Physician Assistant: Definition to come...

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About NPI 1922022938

Candice Roseanne Pellegrino, M.P.A.C., P.A.-C's National Provider Identifier is 1922022938, issued on Jul 26, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Round Rock, TX. The record was last updated on May 22, 2024.