Ut Southwestern

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Legal business name

UT SOUTHWESTERN

Practice address

5323 Harry Hines Blvd
Dallas, TX 75390-9006

Phone

(214) 648-2168

NPI assigned

Jun 15, 2023

Organization subpart

No

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

Authorized official

Name

Tega Daniel Diejomaoh

Title

Medical Student

Phone

(361) 585-3472

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1710662093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5323 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753909006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5323 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753909006",
            "telephone_number": "214-648-2168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UT SOUTHWESTERN",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-07",
        "status": "A",
        "authorized_official_last_name": "DIEJOMAOH",
        "authorized_official_first_name": "TEGA",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "MEDICAL STUDENT",
        "authorized_official_telephone_number": "361-585-3472"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Daniela Usuga
• Ut Southwestern
• Ut Southwestern
• Ut Southwestern
• Ut Southwestern Dva Healthcare LLP (Dallas East Dialysis)
• Ut Southwestern Dva Healthcare LLP (UT Southwestern Oakcliff Dialysis)
• Ut Southwestern Medical Center

• Student Health Clinic/Center in Dallas, TX
• Providers in Dallas, TX by specialty
• Student Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.