Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEREK JAMES PELLETIER, PAC
ActivePhysician Assistant · ROCKWALL, TX
Registration Details
- NPI Number
- 1730105230
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 15, 2006 (19.780212748747 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PA03964 (TX)
Practice Information
- Address
-
2504 RIDGE ROADSUITE 203ROCKWALL, TX, 75087Browse TX providers · Browse ZIP 75087
- Phone
- 2147713100
- Fax
- 2147713101
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in ROCKWALL, TX
| Name | Credential | NPI |
|---|---|---|
| MR. LEONARD Q GRUPPO JR. | PA-C | 1831189372 |
| MR. DONALD ROSS STONE | PA-C | 1104879915 |
| MR. RICHARD ALFRED LABELLE | PA-C | 1760544811 |
| JEFF CHARLES RICKERT | P.A. | 1972719151 |
| COLLEEN PATRICIA GOODROE | PA-C | 1083824783 |
| JANA L DAVIS | PA | 1932424397 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.