IndividualActive
Andrea Pennington-Peace, CSA
NPI 1255869335 · Surgical Assistant · Dallas, TX
Provider details
- NPI number
- 1255869335
- Entity type
- Individual
- Primary specialty
- Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
- Credential
- CSA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4694 (TX)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
1935 Medial District
Dallas, TX 75235
Phone: (214) 456-2022
Approximate (ZIP-level) locationGet directions
Mailing address
223 Sandy Way
Red Oak, TX 75154-6550
Registry dates
- Enumerated
- 2017-06-01
- Last updated
- 2017-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.