DEREK JAMES PELLETIER

ROCKWALL, TX
NPI1730105230
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA03964)
Enumeration Date2006-07-15
Last Update Date2007-07-08
Business Address
-- DEREK JAMES PELLETIER PAC
2504 RIDGE ROAD SUITE 203
ROCKWALL, TX 75087
Phone number: 214-771-3100
Mailing Address
-- DEREK JAMES PELLETIER PAC
1553 HWY 34 SOUTH #600
TERRELL, TX 75160
Phone number: 972-563-8500
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