# UT PHYSICIANS - TRAUMA SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588965131
- **Authorized official:** ANDREW R CASAS (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (832) 325-7317

## Contact information

- **Practice address:** 6410 FANNIN ST, 1500, HOUSTON, TX 77030-3000
- **Practice address phone:** (832) 325-7125
- **Practice address fax:** (713) 892-5500
- **Mailing address:** PO BOX 201088, HOUSTON, TX 77216-1088
- **Mailing address phone:** (713) 500-3500
- **Mailing address fax:** (713) 500-8630

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0127X | Trauma Surgery Physician | — | NULL | Yes |
| 2086S0127X | Trauma Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/14/2010
- **Last updated:** 11/01/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0018WN | BCBSTX | TX |
| 05 | — | 280812301 | — | TX |
| 01 | — | 280812302 | CSHCN | TX |