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Organization

THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS

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

Provider details

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

Contact information

Practice address
5801 FOREST PARK RD, DALLAS, TX 75390-9183
(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
261QX0203X
Radiation Oncology Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
159226301
TX
Enumeration date
02/22/2006
Last updated
02/19/2013
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