Candice Roseanne Pellegrino in Round Rock - Medical
Candice Roseanne Pellegrino - NPI 1922022938
Candice Roseanne Pellegrino is a Medical in Round Rock, Texas. Candice Roseanne Pellegrino practices all healthcare services and medical treatments related to Medical. The NPI Number for Candice Roseanne Pellegrino is 1922022938. The last update date is 2019-10-24.
Candice Roseanne Pellegrino's current location address is 302 University Blvd, Round Rock, Texas. You can contact this provider via phone number 5125090200. The mailing address for Candice Roseanne Pellegrino is 302 University Blvd, Round Rock, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Candice Roseanne Pellegrino |
|---|---|
| Address | 302 University Blvd, Round Rock, Texas |
| Phone Number | 5125090200 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.P.A.C., |
NPI Number Detail
| NPI Number | 1922022938 |
|---|---|
| Provider Enumeration Date | 2006-07-26 |
| Last Updated Date | 2019-10-24 |
Provider Mailing Address Detail
| Address | 302 University Blvd |
|---|---|
| City | Round Rock |
| State | Texas (TX) |
| Post Code | 786651032 |
| Phone Number | 5125090200 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA01105 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1821185299 | TX | AGENCY (BVCAA, INC.) NPI |
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What is the unique provider identifier assigned to Candice Roseanne Pellegrino?
The Candice Roseanne Pellegrino has been issued the NPI (National Provider Identifier) 1922022938 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Candice Roseanne Pellegrino located?
The Candice Roseanne Pellegrino is located at 302 University Blvd, Round Rock, TX 786651032.
What is Candice Roseanne Pellegrino's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Candice Roseanne Pellegrino is Medical, and the taxonomy code that classifies this field of practice is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1922022938 to Candice Roseanne Pellegrino?
The Candice Roseanne Pellegrino received its 1922022938 assignment from the Centers for Medicare & Medicaid Services on 2006-07-26.
When was the information pertaining to Candice Roseanne Pellegrino most recently updated or revised?
The details related to Candice Roseanne Pellegrino, including its address, specialty, and other relevant information, were last updated or revised on 2019-10-24.
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