Individual
JOHN H DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
731 MARTIN RD, HURST, TX 76054-2703
(817) 514-0346
(817) 514-0885
Mailing address
PO BOX 99371, FORT WORTH, TX 76199-0371
(682) 885-1855
(682) 885-7347
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D9410
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00U87Z
BCBSTX GRP PIN
TX
05
—
126950806
—
TX
01
—
126950807
CSHCN
TX
01
—
148395
PHCS PIN
TX
01
—
1618346
CIGNA PIN
TX
01
—
1640343
FIRSTHEALTH PIN
TX
01
—
1750369203
GRP NPI NUMBER
—
01
—
4019308
AETNA PIN
TX
01
—
86W430
BCBSTX IND PIN
TX
01
—
916655
UHC PIN
TX
01
—
DALJC14989
CCHIP PIN
TX
Enumeration date
10/10/2006
Last updated
04/13/2016
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