Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Andrea Nicole Pennington-Peace, CSA

Individual provider Surgical Assistant · NPI 1255869335

Andrea Nicole Pennington-Peace, CSA is a Surgical Assistant in Dallas, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2017
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Practice location Address checks out

1935 Medial District
Dallas, TX 75235
Phone: (214) 456-2022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence 4694 (TX)

Record details

NPI number1255869335
Entity typeIndividual (Type 1)
GenderFemale
Credentials CSA
Sole proprietorYes
NPI enumeratedJune 1, 2017
Last updated in NPPESJune 1, 2017

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