# THE 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 Moncrief Radiation Oncology
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1497720353
- **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) 648-0309

## Contact information

- **Practice address:** 5801 FOREST PARK RD, DALLAS, TX 75390-9183
- **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 |
| --- | --- | --- | --- | --- |
| 261QX0203X | Radiation Oncology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/22/2006
- **Last updated:** 02/19/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 159226301 | — | TX |