Healthcare Provider Details

I. General information

NPI: 1659640415
Provider Name (Legal Business Name): DAVID KWAME DAPAAH PMHNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/23/2011
Last Update Date: 10/25/2023
Certification Date: 10/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4215 GANNON LN
DALLAS TX
75237-2914
US

IV. Provider business mailing address

806 BIRDIE DR
ALLEN TX
75013-5109
US

V. Phone/Fax

Practice location:
  • Phone: 972-283-9090
  • Fax: 972-499-0367
Mailing address:
  • Phone: 469-416-6119
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number308726-1
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number1113490
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: