Individual
DR. DALTON BOURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 WILFORD HALL LOOP BLDG 4554, SAN ANTONIO, TX 78236-5638
(210) 292-6255
(210) 292-7934
Mailing address
1100 WILFORD HALL LOOP BLDG 4554, SAN ANTONIO, TX 78236-5638
(210) 292-6255
(210) 292-7934
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
73098
WI
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
73098
WI
Other
Enumeration date
03/19/2018
Last updated
10/03/2025
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