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UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS NPI 1134173966


NPI Information

NPI: 1134173966
Provider Name: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS

Other Name: UTSW VASCULAR SURGERY

Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
5323 HARRY HINES BLVD
DALLAS, TX
ZIP 75390
Phone: (214) 645-0624
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UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS is a vascular surgery surgery in Dallas, TX. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS NPI is 1134173966. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Utsw Vascular Surgery.

The provider's business location address is:

5323 HARRY HINES BLVD
DALLAS, TX
ZIP 75390-201
Phone: (214) 645-0624
Fax: (214) 645-0078

The provider's authorized official is Bruce A. Meyer .
The authorized official title is Executive Vice President and has the following contact phone number (214) 645-0624.

The enumeration date for this NPI number is 5/19/2006 and was last updated on 5/10/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0129XSurgeryVascular SurgeryYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1159940904MEDICAIDTEXAS

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: 4/28/2024

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