Individual
DAVID DAVAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17121 HIGHWAY 69 S, TYLER, TX 75703-8091
(903) 316-5711
Mailing address
PO BOX 936, BULLARD, TX 75757-0936
(903) 316-5711
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
TX
Other
Enumeration date
06/12/2026
Last updated
06/12/2026
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