Derek James Pelletier in Terrell - Physician Assistant

Derek James Pelletier - NPI 1730105230

Derek James Pelletier is a Physician Assistant in Terrell, Texas. Derek James Pelletier practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Derek James Pelletier is 1730105230. The last update date is 2007-07-08.

Derek James Pelletier's current location address is 1553 Hwy 34 South, Terrell, Texas. You can contact this provider via phone number 9725638500 and fax number 9725638501. The mailing address for Derek James Pelletier is 1553 Hwy 34 South, Terrell, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Derek James Pelletier
Address 1553 Hwy 34 South, Terrell, Texas
Phone Number 9725638500
Fax Number 9725638501
Sole Proprietor N
Credentials PAC

NPI Number Detail

NPI Number 1730105230
Provider Enumeration Date 2006-07-15
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1553 Hwy 34 South
City Terrell
State Texas (TX)
Post Code 75160
Phone Number 9725638500
Fax Number 9725638501

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA03964
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Derek James Pelletier

What is the Derek James Pelletier's 1730105230?

The Derek James Pelletier's NPI (National Provider Identifier) Number is 1730105230. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Derek James Pelletier's facilities are geographically located?

The facilities of Derek James Pelletier are physically situated at the following location: 1553 Hwy 34 South, Terrell, TX, 75160.

What is the area of specialization for Derek James Pelletier, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Derek James Pelletier is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.

On what date did the Derek James Pelletier receive the assignment of its 1730105230 from the Centers for Medicare & Medicaid Services?

The Derek James Pelletier was issued its 1730105230 by the Centers for Medicare & Medicaid Services on 2006-07-15.

As of what date were the details related to Derek James Pelletier most recently updated or revised?

The information pertaining to Derek James Pelletier, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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