Organization
MARK RAY DALTON MD PA
Active
Other names
AUSTIN ANKLE ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK RAY DALTON M.D. (OWNER/PRESIDENT)
(512) 225-6335
Entity
Organization
Contact information
Practice address
901 W 38TH ST, STE 301, AUSTIN, TX 78705-1166
(512) 225-6335
(512) 225-6336
Mailing address
PO BOX 268969, OKLAHOMA CITY, OK 73126-8969
(512) 225-6335
(512) 225-6336
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
TX
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0044PW
BCBS OF TEXAS GROUP #
TX
05
—
162588101
—
TX
Enumeration date
02/20/2006
Last updated
08/07/2014
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