Organization
UT SOUTHWESTERN MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUKE SAMSON MD (CHAIRMAN, NEUROSURGERY)
(214) 648-6727
Entity
Organization
Contact information
Practice address
5303 HARRY HINES BLVD, DALLAS, TX 75390-8855
(214) 645-2300
(214) 645-2301
Mailing address
5161 HARRY HINES BLVD, DALLAS, TX 75235-7707
(214) 648-7850
(214) 648-2204
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
589350
TX
275N00000X
Medicare Defined Swing Bed Hospital Unit
589350
TX
Other
Enumeration date
09/28/2011
Last updated
09/28/2011
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