DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DAVID DAVAULT

MEDICARE: DAVID DAVAULT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramTX

General Provider Information

NPI Number : 1497689525
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID DAVAULT
Provider Business Mailing Address
First Line : PO BOX 936
Second Line :
City : BULLARD
State : TX
Zip : 75757-0936
Country : US
Telephone Number : 903-316-5711
Fax Number :
Provider Business Practice Location Address
First Line : 17121 HIGHWAY 69 S
Second Line :
City : TYLER
State : TX
Zip : 75703-8091
Country : US
Telephone Number : 903-316-5711
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2026
Last Update Date : 06/12/2026

Similar Medicare Providers

1578072971 — JULIE KATHRYN DAVID LPC
Practice Location Address:
17121 US HIGHWAY 69 S
TYLER, TX
75703-8091
Practice Phone: 903-839-5007
Practice Fax:
1659887115 — TAPESTRY COUNSELING OF EAST TEXAS
Practice Location Address:
17121 HIGHWAY 69 S
TYLER, TX
75703-8091
Practice Phone: 903-316-5711
Practice Fax:
1750845442 — KRISSIE LAIN GLASS LPC
Practice Location Address:
17121 HIGHWAY 69 S
TYLER, TX
75703-8091
Practice Phone: 806-683-7249
Practice Fax:
1659933471 — HEATHER LEIGH HALL LPC
Practice Location Address:
17121 HIGHWAY 69 S
TYLER, TX
75703-8091
Practice Phone: 903-316-5711
Practice Fax:
1669088134 — LAUREN PEACOCK MA, LPC
Practice Location Address:
17121 HIGHWAY 69 S
TYLER, TX
75703-8091
Practice Phone: 903-714-7205
Practice Fax:
1235725763 — MRS. REBECCA SCHALL LPC
Practice Location Address:
17121 HIGHWAY 69 S
TYLER, TX
75703-8091
Practice Phone: 903-702-5139
Practice Fax:

Directions to “ DAVID DAVAULT ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.