Individual provider · Type 1 NPI

David Davault

Student in an Organized Health Care Education/Training Program · Tyler, TX

NPI number 1497689525 Active

Practice location

17121 Highway 69 S
Tyler, TX 75703-8091

Call (903) 316-5711 Map

Mailing address

PO Box 936
Bullard, TX 75757-0936

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1497689525

David Davault's National Provider Identifier is 1497689525, issued on Jun 12, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tyler, TX. The record was last updated on Jun 12, 2026.