Individual
DALE A FUNK
Active
Individual
DALE A FUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
J4131
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
J4131
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113150103
SOUTHWEST LIFE & HEALTH
TX
05
—
131880007
—
TX
01
—
8M2570
BCBS - INDIVIDUAL
TX
Enumeration date
05/18/2006
Last updated
06/16/2025
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