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Organization

UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS

Active
Parent organization
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS
Other names
UTSW Ophthalmology
Organization subpart
Yes

Provider details

NPI number
Legal business name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS
Authorized official
MARK MEYER M.D. (EXECUTIVE VICE PRESIDENT)
(214) 648-0309
Entity
Organization

Contact information

Practice address
600 S MAIN ST, FORT WORTH, TX 76104-2410
(817) 882-2400
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 645-0624
(214) 645-0078

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
207W00000X
Ophthalmology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
086893704
TX
Enumeration date
05/19/2006
Last updated
10/16/2025
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