Individual provider · Type 1 NPI

Dallin Wootton, PA-C

Surgical Physician Assistant · Dallas, TX

NPI number 1083260004 Active

Practice location

7115 Greenville Ave Ste 310
Dallas, TX 75231-5103

Call (214) 265-3200 Map

Mailing address

3500 Northstar Rd Apt 815
Richardson, TX 75082-2666

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA12968 (TX)

Surgical Physician Assistant: Definition to come...

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About NPI 1083260004

Dallin Wootton, PA-C's National Provider Identifier is 1083260004, issued on Aug 15, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Dallas, TX. The record was last updated on Aug 15, 2019.