Individual
DR. DALLAS ELLIOTT BAILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
360 NUECES ST, 3704, AUSTIN, TX 78701-3826
(646) 483-8677
Mailing address
360 NUECES ST, 3704, AUSTIN, TX 78701-3826
(646) 483-8677
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
238603
NY
207P00000X
Emergency Medicine Physician
Primary
M7020
TX
Other
Enumeration date
12/04/2006
Last updated
06/02/2009
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