Individual
DAVID M MCCASKILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C, ACNP
Contact information
Practice address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 606-6137
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6400
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
568154
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167104201
—
TX
05
—
167104202
—
TX
05
—
167104203
—
TX
05
—
167104204
—
TX
05
—
167104205
—
TX
01
—
75-0818167-022
TRICARE
TX
01
—
75-0818167-048
TRICARE
TX
01
—
75-2616977-001
TRICARE
TX
01
—
75-2616977-002
TRICARE
TX
01
—
75-2616977-007
TRICARE
TX
01
—
75-2616977-028
TRICARE
TX
01
—
75-2616977-042
TRICARE
TX
01
—
752616977180
TRICARE
TX
01
—
8077NR
BCBS
TX
01
—
833N79
BCBS
TX
01
—
8968NP
BCBS
TX
01
—
8N3752
BCBS OF TEXAS
TX
01
—
P01487045
RAIL ROAD
TX
01
—
P01549686
RAIL ROAD
TX
Enumeration date
08/19/2005
Last updated
07/07/2023
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