Dalton, Leslie W

Dalton, Leslie W is an individual health care provider with primary practice located at 901 W Ben White Blvd , Austin TX 78704-6903. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Dalton, Leslie W can be contacted via phone (512) 448-7100.

Contact Information

Primary practice address
901 W Ben White Blvd Austin TX 78704-6903
Phone: (512) 448-7100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X H3997 Texas

Profile Details

NPI number 1386647022
LBN Legal business name Dalton, Leslie W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2005
Last updated Apr 23rd, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386647022 NPPES
Texas MEDICAID 129107204
Texas MEDICAID 129107203
Texas MEDICAID 129107206
Texas MEDICAID 129107208
Texas MEDICAID 129107207

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