Individual
DR. DAVID CRESSLER HEASLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8440 WALNUT HILL LN, SUITE 510, DALLAS, TX 75231-3833
(214) 345-4406
(214) 345-5543
Mailing address
816 W CANNON ST, FORT WORTH, TX 76104-3146
(817) 321-0404
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
M0753
TX
2085N0700X
Neuroradiology Physician
M0753
TX
2085R0202X
Diagnostic Radiology Physician
Primary
M0753
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083687601
—
TX
Enumeration date
06/02/2006
Last updated
03/21/2019
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