Individual
DEREK JAMES PELLETIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
2504 RIDGE ROAD, SUITE 203, ROCKWALL, TX 75087
(214) 771-3100
(214) 771-3101
Mailing address
1553 HWY 34 SOUTH, #600, TERRELL, TX 75160
(972) 563-8500
(972) 563-8501
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA03964
TX
Other
Enumeration date
07/15/2006
Last updated
07/08/2007
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