# 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 Medical Center at Dallas Radiation Oncology
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1780639328
- **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) 645-0624

## Contact information

- **Practice address:** 5323 HARRY HINES BLVD, DALLAS, TX 75390-7208
- **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 |
| --- | --- | --- | --- | --- |
| 2085R0001X | Radiation Oncology Physician | — | NULL | — |
| 2085R0001X | Radiation Oncology Physician | — | — | — |
| 261QX0203X | Radiation Oncology Clinic/Center | — | NULL | Yes |
| 281P00000X | Chronic Disease Hospital | — | NULL | — |

## Other

- **Enumeration date:** 05/23/2006
- **Last updated:** 08/01/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 082321301 | — | TX |