P Praxis·MD
● Active Type 1 · Individual

Derek James Pelletier, PAC

Physician Assistant·Rockwall, TX· NPI 1730105230 · Enumerated 2006 · 19 years on NPI
Pelletier is 1 of 40 physician assistant providers in Rockwall and 1 of 11022 in Texas.
NPI age
19 years
Enumerated 2006-07-15
Primary specialty
Physician Assistant
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 11022 active physician assistant providers in Texas.

NPI age
19 years
↑ 9 yr above median (10 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-07Enumerated in NPPES
2006 2026

Where they practice

Practice location
2504 Ridge Road, Suite 203
Rockwall, TX 75087
📞 2147713100fax 2147713101
Mailing address
1553 Hwy 34 South, #600
Terrell, TX 75160
📞 9725638500fax 9725638501

Specialties

  • Physician Assistant Primary
    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...
    TX license #PA03964 taxonomy 363A00000X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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