Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | N6849 | TX |
N | 111NI0900X | Internist | N6849 | TX |
Y | 207RG0300X | Geriatric Medicine | N6849 | TX |
NPI | 1124286661 |
---|---|
Provider Name | Thomas Oran Dalton |
First Address | Dallas, TX 75284-5347 |
Second Address | Dallas, TX 75390-7201 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2008 |
Last Update Date | 14/07/2014 |