Individual
MR. WALTON MATTHEW DESPLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
7777 FOREST LN STE B122, DALLAS, TX 75230-6806
(972) 383-1060
(972) 383-1061
Mailing address
301 DUBLIN DR, RICHARDSON, TX 75080-5840
(682) 559-0288
(972) 383-1061
Taxonomy
Speciality
Code
Description
License number
State
163WI0600X
Infection Control Registered Nurse
Primary
794082
TX
163WI0600X
Infection Control Registered Nurse
RN79257
NV
Other
Enumeration date
10/08/2018
Last updated
10/08/2018
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