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Organization
TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS
Active
Organization
TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS
Active
Other names
UTSW Medical Center Urological Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE FAIRBANKS (VICE PRESIDENT)
(214) 648-0309
Entity
Organization
Contact information
Practice address
7800 PRESTON RD, SUITE 300, PLANO, TX 75024
(214) 645-0624
(214) 645-0078
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 645-0624
(214) 645-0078
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
NULL
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
07/21/2006
Last updated
08/22/2020
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