Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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David Robert Dewalch, PA-C

Individual provider Physician Assistant · NPI 1003098807

David Robert Dewalch, PA-C is a Physician Assistant in Tyler, Texas. Qualified in 2004, 22 years ago. Practices with Etmc Physician Group, Inc, a 376-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
22
Licensed in
TX
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

700 Olympic Plaza Cir Ste 600
Tyler, TX 75701-1954
Phone: (903) 596-3488
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 S Beckham Ave, Tyler, TX 75701-1908 — (903) 594-3700

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA04127 (TX)

Record details

NPI number1003098807
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 4, 2007
Last updated in NPPESFebruary 1, 2024
Certification dateFebruary 1, 2024
Mailing address700 Olympic Plaza Cir Ste 600, Tyler, TX 75701-1954

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Etmc Physician Group, Inc. — 376 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Tyler