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Organization

UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS

Active
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Organization

UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS

Active
Parent organization
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS
Other names
UTSW ORAL SURGERY DME
Organization subpart
Yes

Provider details

NPI number
Legal business name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS
Authorized official
BRUCE FAIRBANKS (VICE PRESIDENT)
(214) 645-0624
Entity
Organization

Contact information

Practice address
5939 HARRY HINES BLVD, PROFESSIONAL OFFICE BLDG 2, SUITE 210, DALLAS, TX 75390-7208
(214) 645-0624
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 645-0702

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL

Other

Enumeration date
03/15/2011
Last updated
06/24/2011
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