Organization
UT SOUTHWESTERN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL RUBIN (SUPERVISOR)
(214) 648-6410
Entity
Organization
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-8813
(210) 677-5410
Mailing address
5323 HARRY HINES BLVD, DALLAS, TX 75390-8813
(210) 677-5410
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
701376
TX
Other
Enumeration date
02/09/2017
Last updated
02/09/2017
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