UT SOUTHWESTERN NPI 1477091452

NPI Information

NPI: 1477091452
Provider Name: UT SOUTHWESTERN
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Organization

Specialization: Acute Care

CLIA Number: 45D0659579

Address:
5323 HARRY HINES BLVD
DALLAS, TX
ZIP 75390
Phone: (210) 677-5410
Get Directions

UT SOUTHWESTERN is an acute care nurse practitioner in Dallas, TX. UT SOUTHWESTERN NPI is 1477091452. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5323 HARRY HINES BLVD
DALLAS, TX
ZIP 75390-813
Phone: (210) 677-5410

The provider's authorized official is Michael Rubin .
The authorized official title is Supervisor and has the following contact phone number (214) 648-6410.

The CLIA number assigned to this NPI record is 45D0659579 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 2/9/2017 and was last updated on 2/9/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	701376	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1972848760	MEDICARE NSC	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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