Individual
DAVID WAYNE CANDELARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5858 MAIN ST STE 130, FRISCO, TX 75033-4507
(214) 387-4073
(214) 387-8395
Mailing address
5858 MAIN ST STE 130, FRISCO, TX 75033-4507
(214) 387-4073
(214) 387-8395
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
P6149
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
335834302
—
TX
01
—
342756YZNA
MEDICARE
TX
01
—
342756ZMCY
MEDICARE
TX
Enumeration date
04/07/2010
Last updated
05/07/2019
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