Organization
TRAVIS PATHOLOGY ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE W. DALTON M.D. (OWNER)
(512) 324-7516
Entity
Organization
Contact information
Practice address
2000 SCENIC DR, DEPARTMENT OF PATHOLOGY, GEORGETOWN, TX 78626-7726
(512) 324-7516
(512) 324-7536
Mailing address
PO BOX 164106, AUSTIN, TX 78716-4106
(512) 324-7516
(512) 324-7536
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
07/29/2008
Last updated
07/29/2008
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