David Robert Dewalch in Tyler - Diagnostic Radiology

David Robert Dewalch - NPI 1003098807

David Robert Dewalch is a Diagnostic Radiology in Tyler, Texas. David Robert Dewalch practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for David Robert Dewalch is 1003098807. The last update date is 2008-12-09.

David Robert Dewalch's current location address is 1000 S Beckham Ave, Tyler, Texas. You can contact this provider via phone number 9035943700. The mailing address for David Robert Dewalch is 1000 S Beckham Ave, Tyler, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name David Robert Dewalch
Address 1000 S Beckham Ave, Tyler, Texas
Phone Number 9035943700
Fax Number
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1003098807
Provider Enumeration Date 2007-12-04
Last Updated Date 2008-12-09

Provider Mailing Address Detail

Address 1000 S Beckham Ave
City Tyler
State Texas (TX)
Post Code 757011908
Phone Number 9035943700
Fax Number

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No PA04127
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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FAQs about David Robert Dewalch

What is the unique identifier code issued to David Robert Dewalch by the Centers for Medicare & Medicaid Services (CMS)?

The David Robert Dewalch has been assigned the NPI (National Provider Identifier) 1003098807. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where David Robert Dewalch is physically located?

The David Robert Dewalch is situated at the following address: 1000 S Beckham Ave, Tyler, TX 757011908.

What is David Robert Dewalch's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The David Robert Dewalch's specialized field of practice is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this area of specialization is 2085R0202X.

On what date did the David Robert Dewalch receive the assignment of its 1003098807 from the Centers for Medicare & Medicaid Services?

The David Robert Dewalch was issued its 1003098807 by the Centers for Medicare & Medicaid Services on 2007-12-04.

As of what date was the information pertaining to David Robert Dewalch, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to David Robert Dewalch, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-12-09.

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