Individual
JOHN DAVID DALLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1301 W 38TH ST STE 514, AUSTIN, TX 78705-1014
(512) 681-0500
(512) 681-0501
Mailing address
1301 W 38TH ST STE 514, AUSTIN, TX 78705-1014
(512) 681-0500
(512) 681-0501
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2004015138
MO
207RP1001X
Pulmonary Disease Physician
Primary
N5002
TX
Other
Enumeration date
10/24/2006
Last updated
01/18/2023
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