Individual
MS. CANDICE ROSEANNE PELLEGRINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.P.A.C., P.A.-C
Contact information
Practice address
302 UNIVERSITY BLVD, ROUND ROCK, TX 78665-1032
(512) 509-0200
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-8800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA01105
TX
363AM0700X
Medical Physician Assistant
Primary
PA01105
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821185299
AGENCY (BVCAA, INC.) NPI
TX
Enumeration date
07/26/2006
Last updated
05/22/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us