Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Derek James Pelletier, PAC

Individual provider Physician Assistant · NPI 1730105230

Derek James Pelletier, PAC is a Physician Assistant in Rockwall, Texas. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

2504 Ridge Rd Ste 203
Rockwall, TX 75087
Phone: (214) 771-3100
Fax: (214) 771-3101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA03964 (TX)

Record details

NPI number1730105230
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedJuly 15, 2006
Last updated in NPPESJuly 8, 2007
Mailing address1553 Hwy 34 South, 600, Terrell, TX 75160

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