1. Home
  2. Directory
  3. Texas
  4. Rockwall
  5. Pediatrics
  6. NPI Profile

PECAN TREE PEDIATRICS, P.A.
NPI 1073802724
Pediatrics in Rockwall, TX

Active since April 04, 2011CLIA 45D1106188 · Waiver
201 E I30 STE 100, ROCKWALL, TX 75087(972) 772-3100(469) 757-4890 Get Directions Write a Review

NPPES record last updated: October 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pecan Tree Pediatrics, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PECAN TREE PEDIATRICS, P.A. (NPI 1073802724) is a healthcare organization registered as a pediatrics in Rockwall, Texas and active in the NPI registry since April 2011. The organization holds a CLIA Waiver certificate valid through April 4, 2027 and lists Casey Ellen Drake, President, as its authorized official.

NPPES Registry Identity

NPI1073802724
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePECAN TREE PEDIATRICS, P.A.
Location Address201 E I30 STE 100Rockwall, TX 75087-5402
Mailing Address201 E I30 Ste 100Rockwall, TX 75087-5402 · (972) 772-3100 · Fax (469) 757-4890
Phone(972) 772-3100
Fax(469) 757-4890
Organization SubpartNo
Authorized OfficialCasey Ellen DrakePresident · (972) 772-3100
Enumeration DateApril 4, 2011
Last NPPES UpdateOctober 21, 2024
NPPES CertifiedOctober 21, 2024
✔ NPI 1073802724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · J9870
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
201 E I30 STE 100, Rockwall, TX 75087
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D1106188

Pecan Tree Pediatrics · Rockwall, TX
Active · expires Apr 4, 2027
CLIA Number45D1106188
Laboratory TypePhysician Office
Certificate Effective DateApril 5, 2025
Certificate Expiration DateApril 4, 2027
Laboratory DirectorCasey E. Drake
Laboratory Phone(972) 772-3100
Laboratory LocationPecan Tree Pediatrics201 I-30 East Suite 100, Rockwall, TX 75087
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMILY STOFFELS CARVAJAL MSN, CPNP-PC
Nurse Practitioner (Pediatrics)
201 E I30 STE 100
ROCKWALL, TX 75087
Rockwall County (972) 772-3100
TODD EVAN BENSON JR. M.D.
Pediatrics
201 E I30 STE 100
ROCKWALL, TX 75087
Rockwall County (972) 772-3100
DR. HELLY K SHAH MD
Pediatrics
201 E I30 STE 100
ROCKWALL, TX 75087
Rockwall County (972) 772-3100
MERLIN ANN JACOB MD
Pediatrics
201 E I30 STE 100
ROCKWALL, TX 75087
Rockwall County (972) 772-3100
ERIN MICHELE HUTTI MD
Pediatrics
201 E I30 STE 100
ROCKWALL, TX 75087
Rockwall County (972) 772-3100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pecan Tree Pediatrics, P.A.'s NPI number?

The NPI number for Pecan Tree Pediatrics, P.A. is 1073802724. It was assigned to this organization in the NPPES registry on April 4, 2011.

Where is Pecan Tree Pediatrics, P.A. located?

Pecan Tree Pediatrics, P.A. is located at 201 E I30 Ste 100, Rockwall, TX 75087. The listed phone number is (972) 772-3100.

What is Pecan Tree Pediatrics, P.A.'s specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Pecan Tree Pediatrics, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1106188) is associated with this NPI, valid through April 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pecan Tree Pediatrics, P.A. was last updated on October 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.