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Organization
UNIVERSITY OF TEXAS AT DALLAS
Active
Organization
UNIVERSITY OF TEXAS AT DALLAS
Active
Other names
UTD Callier Center for Communication Disorders
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZABETH ELIZONDO (ADMINISTRATIVE SERVICES OFFICER I)
(972) 883-3010
Entity
Organization
Contact information
Practice address
1966 INWOOD RD, DALLAS, TX 75235-7205
(972) 883-3000
(972) 883-3016
Mailing address
1966 INWOOD RD, DALLAS, TX 75235-7205
(972) 883-3010
(972) 883-3022
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
237600000X
Audiologist-Hearing Aid Fitter
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0051BT
BCBS
TX
01
—
010066 0001
PACIFICCARE
TX
05
—
1770559973
—
TX
01
—
542184706
TRICARE
TX
01
—
566299
UNITED
TX
01
—
CG3488
MEDICARE RR
TX
Enumeration date
02/27/2006
Last updated
02/27/2025
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