Individual
MR. DAYTHEON DE' RON STURGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPAS, PA-C
Contact information
Practice address
5200 HARRY HINES BLVD, DALLAS, TX 75235-7709
(214) 648-1701
(214) 648-1003
Mailing address
5323 HARRY HINES BLVD, DALLAS, TX 75284-9090
(214) 648-1701
(214) 648-1003
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
PA06285
TX
363A00000X
Physician Assistant
PA.200210
LA
363A00000X
Physician Assistant
Primary
PA06285
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1887722
—
LA
Enumeration date
09/12/2008
Last updated
01/13/2016
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