Dalton Mark Allen
Family Medicine in Weatherford, TX. Individual provider (NPI-1).
NPI number1154818821
StatusActive
Last updated in NPPESMay 1, 2024
Details
- NPI
- 1154818821
- Entity type
- Individual (NPI-1)
- Name
- Dalton Mark Allen
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 18, 2018
- Certification date
- May 1, 2024
- Last updated
- May 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 1204821433 | TX | Yes |
Practice location
2111 Fort Worth HwyWeatherford, TX 76086-4834
Phone 817-596-3700 · Fax 888-284-8634
Mailing address
2111 Fort Worth HwyWeatherford, TX 76086-4834
Phone 817-596-3700 · Fax 888-284-8634
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