Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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David Walton Didlake, AG-ACNP

Individual provider Acute Care Nurse Practitioner · NPI 1215664768

David Walton Didlake, AG-ACNP is a Nurse Practitioner in Richardson, Texas. Qualified in 2021, 5 years ago. Practices with Medhealth, a 437-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
5
Licensed in
TX
In the registry since
2022
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Practice location Address checks out

2821 E President George Bush Hwy Ste 505
Richardson, TX 75082-4278
Phone: (214) 943-1191
Fax: (214) 599-2601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 1074220 (TX)

Record details

NPI number1215664768
Entity typeIndividual (Type 1)
GenderMale
Credentials AG-ACNP
Sole proprietorYes
NPI enumeratedAugust 4, 2022
Last updated in NPPESSeptember 7, 2022
Certification dateSeptember 7, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Medhealth — 437 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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