NPIMap

Organization Active NPI

University of Texas Southwestern Medical Center at Dallas

  • Pharmacy
  • Dallas, TX
National Provider Identifier
1124949326
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS
Practice address
4855 Harry Hines Blvd
BH0G.406
Dallas, TX 75235
Phone
(214) 633-4600
NPI assigned
Jul 23, 2026
Organization subpart
Yes
Parent organization
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLASAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Todd Allen Prine
Title
Asst Director, System Reimbursement
Phone
(469) 852-8584

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

4855 Harry Hines Blvd
BH0G.406
Dallas, TX 75235

Mailing address

4855 Harry Hines Blvd
BH0G.406
Dallas, TX 75235
Phone (214) 633-4600

Other names 1

  • Texas Behavioral Health Center Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2343547Texas Behavioral Health Center (TBHC)4855 Harry Hines Blvd., Dallas, TX 75235RegistrationMay 6, 2028

National Provider Directory

National Provider Directory
Tax ID family
Ut Southwestern Clinical11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4855 Harry Hines Blvd
#0G406
Dallas, TX 75235

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1784764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1124949326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4855 HARRY HINES BLVD",
            "address_2": "BH0G.406",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75235",
            "telephone_number": "214-633-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4855 HARRY HINES BLVD",
            "address_2": "BH0G.406",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75235",
            "telephone_number": "214-633-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS",
        "enumeration_date": "2026-07-23",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-06",
        "status": "A",
        "authorized_official_last_name": "PRINE",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "ASST DIRECTOR, SYSTEM REIMBURSEMENT",
        "authorized_official_telephone_number": "469-852-8584"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Behavioral Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.