Derek James Pelletier, PAC

Physician Assistant · Rockwall, TX

Individual Active NPI

NPI number 1730105230

Practice location

2504 Ridge Road
Suite 203
Rockwall, TX 75087
Phone
(214) 771-3100
Fax
(214) 771-3101

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NPI record

NPI
1730105230
Entity type
Individual (Type 1)
Enumeration date
July 15, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X PA03964 TX

Mailing address

1553 Hwy 34 South
#600
Terrell, TX 75160
Phone
(972) 563-8500
Fax
(972) 563-8501

About Derek Pelletier

Derek James Pelletier, PAC is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 2504 Ridge Road, Suite 203, Rockwall, TX 75087. The NPI number 1730105230 was assigned on July 15, 2006 and the record was last updated on July 8, 2007.

Derek Pelletier lists a license in the registry: #PA03964 (TX) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Derek James Pelletier, PAC?

The NPI number is 1730105230.

What is the phone number of Derek Pelletier?

The phone number listed for the practice location is (214) 771-3100.

Where is Derek Pelletier located?

2504 Ridge Road, Suite 203, Rockwall, TX 75087.

What is the taxonomy code for Derek Pelletier?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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