Individual
DR. MARK RAY DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4700 SETON CENTER PKWY STE 200, AUSTIN, TX 78759-4107
(512) 439-1000
(512) 439-1081
Mailing address
4700 SETON CENTER PKWY STE 200, AUSTIN, TX 78759-4107
(512) 439-1000
(512) 439-1081
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
K5499
TX
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
K5499
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162846301
—
TX
01
—
8AJ073
BCBS OF TEXAS INDIVIDUAL #
TX
Enumeration date
02/08/2006
Last updated
12/07/2017
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