Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dallin Wootton, PA-C

Individual provider Surgical Physician Assistant · NPI 1083260004

Dallin Wootton, PA-C is a Physician Assistant in Dallas, Texas. Qualified in 2019, 7 years ago. Practices with Ortholonestar PLLC, a 415-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
7
Licensed in
TX
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

7115 Greenville Ave Ste 310
Dallas, TX 75231-5103
Phone: (214) 265-3200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA12968 (TX)

Record details

NPI number1083260004
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 15, 2019
Last updated in NPPESAugust 15, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Ortholonestar Pllc — 415 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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