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1215664768
DAVID WALTON DIDLAKE
RICHARDSON, TX
NPI
1215664768
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: TX 1074220)
Enumeration Date
2022-08-04
Last Update Date
2022-09-07
Business Address
DAVID WALTON DIDLAKE AG-ACNP
2821 E PRESIDENT GEORGE BUSH HWY STE 505
RICHARDSON, TX 75082-4278
Phone number: 214-943-1191
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Mailing Address
DAVID WALTON DIDLAKE AG-ACNP
2821 E PRESIDENT GEORGE BUSH HWY STE 505
RICHARDSON, TX 75082-4278
Phone number: 214-943-1191
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