Dalton, Mark Ray
Dalton, Mark Ray is an individual health care provider with primary practice located at 4700 Seton Center Pkwy Ste 200 , Austin TX 78759-4107. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Foot and Ankle Surgery. Allopathic & Osteopathic Physicians / Foot and Ankle Surgery is his primary health care specialty. Dalton, Mark Ray can be contacted via phone (512) 439-1000.Contact Information
Primary practice address
4700 Seton Center Pkwy Ste 200
Austin TX 78759-4107
Phone: (512) 439-1000
Fax: (512) 439-1081
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | K5499 | Texas |
| Allopathic & Osteopathic Physicians / Foot and Ankle Surgery | 207XX0004X | K5499 | Texas |
Profile Details
| NPI number | 1457324816 |
|---|---|
| LBN Legal business name | Dalton, Mark Ray |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2006 |
| Last updated | Dec 7th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457324816 | NPPES |
| Texas | MEDICAID | 162846301 | |
| Texas | Other | 8AJ073 |
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