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Organization
MARK RAY DALTON MD PA
Active
Organization
MARK RAY DALTON MD PA
Active
Other names
AUSTIN ANKLE ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK RAY DALTON M.D. (OWNER/PRESIDENT)
(512) 225-6335
Entity
Organization
Contact information
Practice address
901 W 38TH ST, STE 301, AUSTIN, TX 78705-1166
(512) 225-6335
(512) 225-6336
Mailing address
PO BOX 268969, OKLAHOMA CITY, OK 73126-8969
(512) 225-6335
(512) 225-6336
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
TX
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0044PW
BCBS OF TEXAS GROUP #
TX
05
—
162588101
—
TX
Enumeration date
02/20/2006
Last updated
08/07/2014
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