NPI 1164483459

William Alva Carlton, CO

Practitioner Orthotist Dallas, TX

Practice location

Address: 5323 Harry Hines Blvd, Dallas, TX 75390-7208
Phone: (214) 645-8250
Fax: (214) 645-8251
Mailing address: PO Box 845347, Dallas, TX 75284-5347

Registered specialties

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence 37 (TX)

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Registry record

NPI: 1164483459
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Mar 2006
Record last updated: 4 Dec 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.