University of Texas Southwestern Medical Center at Dallas
Organization Active NPI Internal Medicine Physician · El Paso, TX
NPI 1235384199 · NPPES record last updated Oct 16, 2025
Key facts
- NPI
- 1235384199
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS
- Practice address
- 1625 Medical Center Dr
El Paso, TX 79902-5005 - Phone
- (214) 645-0624
- NPI assigned
- Nov 19, 2008
- Organization subpart
- Yes
- Parent organization (as reported)
- UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS
Authorized official
- Name
- Mark Meyer, M.D.
- Title
- Chief Financial Officer
- Phone
- (214) 648-0389
Other NPIs on the same Medicare enrollment 43
Corporate family (same tax ID) 24
Practitioners 294
-
Jenna Erynn Abraham, DPT
-
Reana Joyce Abraham, CPNP-PC
-
Ginikanwa Agu, NP
-
David Aguilar, MD
-
Camli Al-Sadek, MD
-
Fadwa Ali, M.D.
-
Mary Grace Alip, ACNP-BC
-
Eric James Andrews, M.D.
-
Salah G Aoun, MD
-
Oganes Ashikyan, M.D.
-
Juliana Nkea Atem, ACNP AG
-
Sumitha Atluri, MD
-
Farrukh T Awan, M.D., M.S.
-
Mahdi M Awwad, M.D.
-
Nasser Ayyad, D.O.
-
Fereshteh Azad, MD
-
Boone Bacon, PA-C
-
Alexandru C. Bageac, M.D.
-
Nikesh Bajaj, D.O.
-
Vini Bapna, M.D.
-
Irum Basar, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031106000792 | TX | Part B Supplier - Clinic/Group Practice | 0648188250 |
Receives reassigned benefits from 5,689 practitioners 46 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
National Provider Directory
- Tax ID family
- Genetic Diagnostic Group
- Part of
- Genetic Diagnostic Group
Locations
12950 Dallas Pkwy
Frisco, TX 75033
Phone (469) 495-2540
6121 State Highway 161
Ste 200
Irving, TX 75038
Phone (214) 964-0600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | |||
| Transplant Surgery Physician |
204F00000X | |||
| Internal Medicine Physician |
207R00000X | Yes | ||
| Pediatric Otolaryngology Physician |
207YP0228X | |||
| Pediatrics Physician |
208000000X | |||
| Pediatric Emergency Medicine (Pediatrics) Physician |
2080P0204X | |||
| Pediatric Nephrology Physician |
2080P0210X | |||
| Psychiatry Physician |
2084P0800X | |||
| Diagnostic Radiology Physician |
2085R0202X | |||
| Surgery Physician |
208600000X | |||
| Pediatric Surgery Physician |
2086S0120X | |||
| Urology Physician |
208800000X | |||
| Audiologist |
231H00000X |
Addresses
Primary practice location
1625 Medical Center Dr
El Paso, TX 79902-5005
Mailing address
PO Box 845347
Dallas, TX 75284-5347
Phone (214) 645-0624
Other practice location 1
7601 Preston Rd
Plano, TX 75024-3214
Phone (469) 604-9000
Other practice location 2
12400 Dallas Pkwy
Frisco, TX 75033-4298
Phone (469) 604-9000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 206802501 | Medicaid | TX |
Other names
- UT Southwestern Multispecialty Clinic, El Paso
Other providers in El Paso, TX
- Universal Mental Health Care PLLC
- Universal Radiology PA
- University Behavioral Health of El Paso, LLC
- University Medical Ctr Women'S Health Center
- University of Texas El Paso
- University Towers Radiology Associates, P.a.
- Maria Dolores Unzueta
- Upper Extremity Rehabilitation Institute
- Upper Valley Dialysis LP
- Upper Valley Pharmacy LLC
All providers in El Paso, TX · Internal Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.