Individual
PATRICK CHARLES DILLAWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 W HIGHWAY 71, MARBLE FALLS, TX 78654-8606
(830) 201-7100
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 994-0371
(254) 215-9722
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
J9662
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138774815
—
TX
05
—
138774816
—
TX
01
—
8CX686
BCBS
TX
Enumeration date
01/10/2006
Last updated
01/09/2023
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