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UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS NPI 1205880036


NPI Information

NPI: 1205880036
Provider Name: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS

Other Name: UTSW MEDICAL CENTER EMERGENCY MEDICINE

Classification: Emergency Medicine - 207P00000X
Entity Type: Organization

CLIA Number: 45D0957007

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 an emergency medicine in Dallas, TX. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS NPI is 1205880036. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Utsw Medical Center Emergency Medicine.

The provider's business location address is:

5323 HARRY HINES BLVD
DALLAS, TX
ZIP 75390-208
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 CLIA number assigned to this NPI record is 45D0957007 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/19/2006 and was last updated on 5/7/2021.


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
1207P00000XEmergency MedicineYes

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
1082025001MEDICAIDTEXAS

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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