# MARK RAY DALTON MD PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AUSTIN ANKLE ASSOCIATES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497720817
- **Authorized official:** DR. MARK RAY DALTON M.D. (OWNER/PRESIDENT)
- **Authorized official phone:** (512) 225-6335

## Contact information

- **Practice address:** 901 W 38TH ST, STE 301, AUSTIN, TX 78705-1166
- **Practice address phone:** (512) 225-6335
- **Practice address fax:** (512) 225-6336
- **Mailing address:** PO BOX 268969, OKLAHOMA CITY, OK 73126-8969
- **Mailing address phone:** (512) 225-6335
- **Mailing address fax:** (512) 225-6336

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | TX | — |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | — | TX | Yes |

## Other

- **Enumeration date:** 02/20/2006
- **Last updated:** 08/07/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0044PW | BCBS OF TEXAS GROUP \# | TX |
| 05 | — | 162588101 | — | TX |