# UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS
- **Other names:** UTSW Vascular Surgery
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1134173966
- **Legal business name:** UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS
- **Authorized official:** BRUCE A. MEYER M.D. (EXECUTIVE VICE PRESIDENT)
- **Authorized official phone:** (214) 645-0624

## Contact information

- **Practice address:** 5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
- **Practice address phone:** (214) 645-0624
- **Practice address fax:** (214) 645-0078
- **Mailing address:** PO BOX 845347, DALLAS, TX 75284-5347
- **Mailing address phone:** (214) 645-0624
- **Mailing address fax:** (214) 645-0078

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/19/2006
- **Last updated:** 05/10/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 159940904 | — | TX |