Individual
DALLIN WOOTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7115 GREENVILLE AVE STE 310, DALLAS, TX 75231-5103
(214) 265-3200
Mailing address
3500 NORTHSTAR RD APT 815, RICHARDSON, TX 75082-2666
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA12968
TX
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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