Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Holly Sandberg, PA-C

Individual provider Physician Assistant · NPI 1407626153

Holly Sandberg, PA-C is a Physician Assistant in Plano, Texas. Qualified in 2023, 3 years ago. Practices with Legacy Urgent Care PA, a 158-clinician group. Licensed in Texas.

Years since qualifying
3
Licensed in
TX
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3901 W 15th St
Plano, TX 75075-7738
Phone: (814) 969-1597
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA17368 (TX)

Record details

NPI number1407626153
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 4, 2024
Last updated in NPPESJanuary 4, 2024
Certification dateJanuary 4, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Legacy Urgent Care Pa — 158 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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