Individual
VINAY DALAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
413 WEST ROSEDALE, FORT WORTH, TX 76104-4808
(817) 348-8082
(817) 348-8772
Mailing address
PO BOX 961205, FORT WORTH, TX 76161-1205
(817) 740-8400
(817) 348-8772
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
L5294
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162777001
—
TX
01
—
P00096728
RAILROAD MEDICARE
—
Enumeration date
07/13/2006
Last updated
09/30/2011
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