Organization
UT SOUTHWESTERN MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE MICKEY MD (CO CHAIR DEPT. NEUROSURGERY)
(214) 648-7894
Entity
Organization
Contact information
Practice address
5161 HARRY HINES BOULEVARD, DALLAS, TX 75390-8855
(214) 648-7580
(214) 648-2204
Mailing address
5161 HARRY HINES BOULEVARD, DALLAS, TX 75390-8855
(214) 648-7580
(214) 648-2204
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
589350
TX
Other
Enumeration date
10/26/2011
Last updated
10/26/2011
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