# 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
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1770894396
- **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:** 3000 N I-35, DENTON, TX 76201-5119
- **Practice address phone:** (469) 303-3591
- **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 |
| --- | --- | --- | --- | --- |
| 163WP0218X | Pediatric Oncology Registered Nurse | — | NULL | — |
| 163WP0218X | Pediatric Oncology Registered Nurse | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 207YP0228X | Pediatric Otolaryngology Physician | — | NULL | — |
| 207YP0228X | Pediatric Otolaryngology Physician | — | — | — |
| 2080P0202X | Pediatric Cardiology Physician | — | NULL | — |
| 2080P0202X | Pediatric Cardiology Physician | — | — | — |
| 2080P0206X | Pediatric Gastroenterology Physician | — | NULL | — |
| 2080P0206X | Pediatric Gastroenterology Physician | — | — | — |
| 2080P0207X | Pediatric Hematology & Oncology Physician | — | NULL | — |
| 2080P0207X | Pediatric Hematology & Oncology Physician | — | — | — |
| 2084N0402X | Neurology with Special Qualifications in Child Neurology Physician | — | NULL | — |
| 2084N0402X | Neurology with Special Qualifications in Child Neurology Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 2086S0120X | Pediatric Surgery Physician | — | NULL | — |
| 2086S0120X | Pediatric Surgery Physician | — | — | — |
| 208800000X | Urology Physician | — | NULL | — |
| 208800000X | Urology Physician | — | — | — |
| 2088P0231X | Pediatric Urology Physician | — | NULL | — |
| 2088P0231X | Pediatric Urology Physician | — | — | — |
| 231H00000X | Audiologist | — | NULL | — |
| 231H00000X | Audiologist | — | — | — |

## Other

- **Enumeration date:** 06/29/2010
- **Last updated:** 03/21/2023