Dalton, Mark D.

Dalton, Mark D. is an individual health care provider with primary practice located at 900 W Magnolia Ave Ste 100, Fort Worth TX 76104-8517. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Dalton, Mark D. can be contacted via phone (817) 870-7300.

Contact Information

Primary practice address
900 W Magnolia Ave Ste 100 Fort Worth TX 76104-8517
Phone: (817) 870-7300
Fax: (817) 332-8372
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X D7000 Texas

Profile Details

NPI number 1780675033
LBN Legal business name Dalton, Mark D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Nov 10th, 2010 - about 14 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 1780675033 NPPES
Other 85Y012 BCBS
MEDICAID 099326302 BCBS
Other 7564001 BCBS

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