Organization
PECAN TREE PEDIATRICS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CASEY ELLEN DRAKE M.D. (PRESIDENT)
(972) 772-3100
Entity
Organization
Contact information
Practice address
201 E I30 STE 100, ROCKWALL, TX 75087-5402
(972) 772-3100
(469) 757-4890
Mailing address
201 E I30 STE 100, ROCKWALL, TX 75087-5402
(972) 772-3100
(469) 757-4890
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J9870
TX
Other
Enumeration date
04/04/2011
Last updated
10/21/2024
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