David Robert Dewalch, PA-C

NPI #1003098807 in Tyler, Texas

Provider Information

NPI Number: 1003098807
Entity Type: Individual
Name: David Robert Dewalch, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Dec 4, 2007
Last Updated: Feb 1, 2024

Practice Location

Address: 700 OLYMPIC PLAZA CIR STE 600
City: Tyler
State: Texas
ZIP Code: 75701-1954
Phone: (903) 596-3488

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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