Individual
CANDACE-ROSE PACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
36065 SANTA FE AVE, FORT CAVAZOS, TX 76544-5060
(254) 288-8090
Mailing address
36065 SANTA FE AVE, DEPARTMENT OF INTERNAL MEDICINE, FORT CAVAZOS, TX 76544-5060
(254) 288-8090
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101255545
VA
208M00000X
Hospitalist Physician
Primary
0101255545
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2012
Last updated
07/03/2023
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