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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 Cardiothoracic Surgeons
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
520 E 6TH ST, ODESSA, TX 79761-4527
(214) 645-0624
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 645-0264

Taxonomy

Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary

Other

Enumeration date
03/05/2009
Last updated
02/19/2013
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