Individual
DERYK WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1935 MEDICAL DISTRICT DR, ATTN: ANESTHESIOLOGY DEPARTMENT, DALLAS, TX 75235-7701
(817) 529-1935
Mailing address
1935 MEDICAL DISTRICT DR, ATTN: ANESTHESIOLOGY DEPARTMENT, DALLAS, TX 75235-7701
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
M7739
TX
207LP3000X
Pediatric Anesthesiology Physician
M7739
TX
Other
Enumeration date
04/13/2007
Last updated
10/03/2008
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