Organization
THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS
Active
Parent organization
THE UNIVERSITY OF TEXAS SOUTHWESTERN AT DALLAS
Other names
UTSW Aston OBGYN Laboratory
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE UNIVERSITY OF TEXAS SOUTHWESTERN AT DALLAS
Authorized official
BRUCE A. MEYER M.D. (EXECUTIVE VICE PRESIDENT)
(214) 645-0624
Entity
Organization
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7208
(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
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025448401
—
TX
Enumeration date
10/10/2006
Last updated
02/19/2013
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