Individual
EVAN MICHAEL DALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6621 FANNIN ST, HOUSTON, TX 77030-2399
(832) 824-8420
Mailing address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(281) 608-1625
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD470043
PA
208000000X
Pediatrics Physician
Primary
U3193
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2017
Last updated
04/02/2023
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