MR. WALTON MATTHEW DESPLAS (NPI# 1235604042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235604042 |
| Entity Type | Individual |
| Full Name | MR. WALTON MATTHEW DESPLAS |
| Credential | RN |
| Practice Address |
7777 Forest Ln Ste B122 Dallas TX 75230-6806 |
| Mailing Address |
301 Dublin Dr Richardson TX 75080-5840 |
| Practice Telephone | 9723831060 |
| Practice Fax Number | 9723831061 |
| Mailing Telephone | 6825590288 |
| Mailing Fax Number | 9723831061 |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2018-10-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WI0600X |
Registered Nurse Specialization: Infection Control |
RN79257 | NV | Nursing Service Providers |
| Y | 163WI0600X |
Registered Nurse Specialization: Infection Control |
794082 | TX | Nursing Service Providers |
| Street Address |
7777 FOREST LN STE B122 |
| City | DALLAS |
| State | TX |
| Zip Code | 75230-6806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811427594 | Jena Benik | Physician Assistant | 7777 Forest Ln Ste B122, Dallas, TX 75230-6806 | 2017-06-15 |
| 1164998050 | Jetta Plotke | Registered Nurse | 7777 Forest Ln Ste B122, Dallas, TX 75230-6806 | 2018-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912552415 | Kyoto Medical Services, Pllc | Orthopaedic Surgery | 12890 Hillcrest Plaza Drive, Suite K111, Dallas, TX 75230 | 2019-08-02 |
| 1528538170 | Angel Laamber Adams | Nurse Practitioner | 7777 Forest Lane Suite C 833, Dallas, TX 75230 | 2018-11-27 |
| 1538634399 | Tochukwu Chioma Uche-ukah | Nurse Practitioner | Dr Katari, Encompass Health Rehabilitations, 7930 Northaven Rd, Dallas, TX 75230 | 2018-10-09 |
| 1790260958 | Ability Aba, Pllc | Behavioral Analyst | 5930 Royal Lane Ste E, #301, Dallas, TX 75230 | 2018-10-03 |
| 1750887956 | Brandi Nicole Freeman | Behavioral Analyst | 5639 Mcshann Rd, Dallas, TX 75230 | 2018-04-05 |
| 1326547720 | Whitney A Stewart | Psychologist | 5924 Royal Lane, Ste 258, Preston Hollow Health & Wellness, Dallas, TX 75230 | 2018-02-12 |
| 1407384373 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7859 Walnut Hill Ln Ste 110, Dallas, TX 75230 | 2017-05-23 |
| 1215488648 | The Walker Wellness Clinic | Community/Behavioral Health | 12200 Preston Rd., Dallas, TX 75230 | 2016-10-20 |
| 1578912325 | Renat Kudyakov | Nurse Practitioner | 7777 Forest Ln Ste B-446, Dallas, TX 75230 | 2016-06-11 |
| 1407210982 | Rohan Venugopal Menon | Pediatrics | 7777 Forest Lane, Bldg B 300, Dallas, TX 75230 | 2016-04-11 |
| Find all providers in zip 75230 | ||||
| Taxonomy Code | 163WI0600X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Infection Control |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821611930 | Diana Horton-barnett | Registered Nurse | 6322 Fm 78 Ste 117, San Antonio, TX 78244-1033 | 2020-05-22 |
| 1407957533 | Jean Marie Przykucki | Registered Nurse | 7400 Merton Minter St, (111f), San Antonio, TX 78229-4404 | 2006-09-25 |
Please comment or provide details below to improve the information on MR. WALTON MATTHEW DESPLAS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.