Individual
DR. DAVID L DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
214 E HOUSTON ST, TYLER, TX 75702-8131
(903) 535-9041
(903) 533-0726
Mailing address
PO BOX 5500, TYLER, TX 75712-5500
(903) 324-6450
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
D8188
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138372101
—
TX
05
—
138372112
—
TX
01
—
85V178
BCBS
TX
Enumeration date
02/10/2006
Last updated
04/03/2012
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