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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LESLIE W DALTON JR.

Active Sole Proprietor

LESLIE W DALTON JR. is a Audiologist healthcare provider located in CANYON, Texas. NPI 1043571938 is currently active in the NPPES registry. Verify at CMS.

Audiologist · CANYON, TX

Registration Details

NPI Number
1043571938
Provider Type
Individual
Gender
Male
NPI Issued
Jun 6, 2012 (14.002348466635 yrs)
Last Updated
Oct 23, 2012
Licenses
104700 (TX)
104700 (TX)
Sole Proprietor
Yes

Practice Information

Address
2501 4TH AVE
CANYON, TX, 790160001
Browse TX providers · Browse ZIP 79016
Phone
8066515108
Fax
8066515105
Primary Specialty
Audiologist
231H00000X
Additional Specialty
Audiologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.