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Contact Information

LESLIE W DALTON III, MD
901 W BEN WHITE BLVD
AUSTIN, TX78704-6903
 Phone: 512-448-7100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for LESLIE W DALTON III · (Male)

NPI Number 1386647022
Status Active
Credentials MD
Entity Individual
Enumeration date 05/26/2005
Last updated 04/23/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • TX License # H3997
  • TX Medicaid 129107203
  • TX Medicaid 129107204
  • TX Medicaid 129107206
  • TX Medicaid 129107207
  • TX Medicaid 129107208
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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