NPI 1003098807

David Robert Dewalch, PAC

Practitioner Physician Assistant Tyler, TX

Practice location

Address: 700 Olympic Plaza Cir STE 600, Tyler, TX 75701-1954
Phone: (903) 596-3488

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA04127 (TX)

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Registry record

NPI: 1003098807
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Dec 2007
Record last updated: 1 Feb 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.