Individual
DR. CONRAD IVAN DALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
98 S. SHAWNEE RIDGE CIRCLE, THE WOODLANDS, TX 77382-2555
(281) 757-6081
(281) 681-2772
Mailing address
98 S. SHAWNEE RIDGE CIRCLE, THE WOODLANDS, TX 77382-2555
(281) 757-6081
(281) 681-2772
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
Primary
D6998
TX
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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