University of Texas Southwestern Medical Center at Dallas
Organization Active NPI Oral and Maxillofacial Surgery (Dentist) · Dallas, TX
NPI 1306976865 · NPPES record last updated Feb 15, 2013
Key facts
- NPI
- 1306976865
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist) 1223S0112X
- Legal business name
- UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS
- Practice address
- 5323 Harry Hines Blvd
Dallas, TX 75390-7201 - Phone
- (214) 645-0624
- NPI assigned
- Mar 6, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS
Authorized official
- Name
- Bruce A. Meyer, M.D.
- Title
- Executive Vice President
- Phone
- (214) 645-0624
Corporate family (same tax ID) 24
Practitioners 1
National Provider Directory
- Tax ID family
- Genetic Diagnostic Group
- Part of
- Genetic Diagnostic Group
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) |
1223S0112X | Yes |
Addresses
Primary practice location
5323 Harry Hines Blvd
Dallas, TX 75390-7201
Mailing address
PO Box 845347
Dallas, TX 75284-5347
Phone (214) 645-0624
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 126686805 | Medicaid | TX |
Other providers in Dallas, TX
- University of Texas Southwestern Medical Center at Dallas
- University of Texas Southwestern Medical Center at Dallas
- University of Texas Southwestern Medical Center at Dallas
- University of Texas Southwestern Medical Center at Dallas
- University of Texas Southwestern Medical Center at Dallas
- University of Texas Southwestern Medical Center at Dallas
- University of Texas Southwestern Medical Center at Dallas
- University of Texas Southwestern Medical Center at Dallas
- University of Texas Southwestern Medical Center at Dallas
- University of Texas Southwestern Medical Center at Dallas
All providers in Dallas, TX · Oral and Maxillofacial Surgery (Dentist) in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 15, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.