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Organization

UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS

Active
Parent organization
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS
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
3000 N I-35, DENTON, TX 76201-5119
(469) 303-3591
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 645-0624
(214) 645-0078

Taxonomy

Speciality
Code
Description
License number
State
163WP0218X
Pediatric Oncology Registered Nurse
207V00000X
Obstetrics & Gynecology Physician
Primary
207YP0228X
Pediatric Otolaryngology Physician
2080P0202X
Pediatric Cardiology Physician
2080P0206X
Pediatric Gastroenterology Physician
2080P0207X
Pediatric Hematology & Oncology Physician
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
208600000X
Surgery Physician
2086S0120X
Pediatric Surgery Physician
208800000X
Urology Physician
2088P0231X
Pediatric Urology Physician
231H00000X
Audiologist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
281131701
TX
01
281131702
CSHCN
TX
Enumeration date
06/29/2010
Last updated
03/21/2023
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