Organization
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS
Active
Parent organization
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS
Other names
University of Texas General Surgery
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) 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
208600000X
Surgery Physician
Primary
—
—
2086S0120X
Pediatric Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081900501
—
TX
Enumeration date
01/25/2006
Last updated
04/12/2023
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