Provider Demographics
NPI:1023180783
Name:DAYTON, BILLY C (MD)
Entity Type:Individual
Prefix:DR
First Name:BILLY
Middle Name:C
Last Name:DAYTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX H
Mailing Address - Street 2:
Mailing Address - City:HICO
Mailing Address - State:TX
Mailing Address - Zip Code:76457-0230
Mailing Address - Country:US
Mailing Address - Phone:254-796-4224
Mailing Address - Fax:254-796-4064
Practice Address - Street 1:104 WALNUT ST
Practice Address - Street 2:
Practice Address - City:HICO
Practice Address - State:TX
Practice Address - Zip Code:76457
Practice Address - Country:US
Practice Address - Phone:254-796-4224
Practice Address - Fax:254-796-4064
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXC7578207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1328965-06Medicaid
TXB22142Medicare UPIN
TX807884Medicare ID - Type Unspecified
TX1328965-06Medicaid