Individual
JOHN DALSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 WALLACE BLVD, AMARILLO, TX 79106-1799
(806) 212-2129
(806) 212-2246
Mailing address
PO BOX 840026, DALLAS, TX 75284-0026
(806) 212-6965
(806) 212-6278
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L2858
TX
208M00000X
Hospitalist Physician
Primary
L2858
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148774604
—
TX
Enumeration date
03/24/2006
Last updated
04/18/2019
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