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● Active Type 1 · Individual

David Robert Dewalch, PA-C

Physician Assistant·Tyler, TX· NPI 1003098807 · Enumerated 2007 · 18 years on NPI
Dewalch is 1 of 103 physician assistant providers in Tyler and 1 of 11,283 in Texas.
NPI age
18 years
Enumerated 2007-12-04
Primary specialty
Physician Assistant
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-02-01
Source: CMS NPPES provider record
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 11283 active physician assistant providers in Texas.

NPI age
18 years
↑ 8 yr above median (10 yr)
State licenses
1 state
14% of peers hold multiple states
Subspecialties
0
22% of peers hold subspecialties

NPI lifetime · 2007 → 2024

2007-12Enumerated in NPPES
2007 2024

Where they practice

Practice location
700 Olympic Plaza Cir Ste 600
Tyler, TX 757011954
📞 9035963488
Mailing address
700 Olympic Plaza Cir Ste 600
Tyler, TX 757011954
📞 9035963488

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1000 S Beckham Ave
Tyler, TX 757011908
📞 9035943700

Specialties

  • Physician Assistant Primary
    A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
    TX license #PA04127 taxonomy 363A00000X

Medicare directory context

Attributes below come from the CMS Doctors & Clinicians dataset used by Medicare Care Compare, retrieved 2026-10-12. They apply only to this clinician's public Medicare listing.

Medicare specialties
Physician Assistant
Largest Medicare group
375 members
Largest listed enrollment group

Facility affiliations reported by CMS

  • Etmc Physician Group, Inc.

Medicare listing data does not guarantee that a clinician is accepting new patients or that a service is covered. View the CMS dataset →

Practice context

Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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