Organization
TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS
Active
Other names
UTSW Medical Center Urological Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE FAIRBANKS (VICE PRESIDENT)
(214) 648-0309
Entity
Organization
Contact information
Practice address
7800 PRESTON RD, SUITE 300, PLANO, TX 75024
(214) 645-0624
(214) 645-0078
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 645-0624
(214) 645-0078
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
07/21/2006
Last updated
08/22/2020
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