Individual
DAVID WALTON DIDLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AG-ACNP
Contact information
Practice address
2821 E PRESIDENT GEORGE BUSH HWY STE 505, RICHARDSON, TX 75082-4278
(214) 943-1191
(214) 599-2601
Mailing address
2821 E PRESIDENT GEORGE BUSH HWY STE 505, RICHARDSON, TX 75082-4278
(214) 943-1191
(214) 599-2601
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1074220
TX
Other
Enumeration date
08/04/2022
Last updated
09/07/2022
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