Individual
ANDREW PELLEGRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
221 3RD ST W BLDG 1040, JBSA RANDOLPH, TX 78150-4800
(210) 652-8544
Mailing address
221 3RD ST W BLDG 1040, JBSA RANDOLPH, TX 78150-4800
(210) 652-8544
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30354
NE
Other
Enumeration date
06/02/2016
Last updated
08/23/2021
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