Provider Demographics
NPI:1710091137
Name:DAYTON, HARVEY H JR (MD)
Entity Type:Individual
Prefix:DR
First Name:HARVEY
Middle Name:H
Last Name:DAYTON
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1320 QUITMAN ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77009-7936
Mailing Address - Country:US
Mailing Address - Phone:713-227-8246
Mailing Address - Fax:713-222-0464
Practice Address - Street 1:1320 QUITMAN ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77009-7936
Practice Address - Country:US
Practice Address - Phone:713-227-8246
Practice Address - Fax:713-222-0464
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-19
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG1884207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXEO4504Medicare UPIN