University Of Texas Southwestern Medical Center At Dallas | |
5323 Harry Hines Blvd Dallas TX 75390-7201 | |
(214) 645-0624 | |
Not Available |
Full Name | University Of Texas Southwestern Medical Center At Dallas |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 5323 Harry Hines Blvd, Dallas, Texas |
Authorized Official Name and Position | Bruce A. Meyer (EXECUTIVE VICE PRESIDENT) |
Authorized Official Contact | 2146450624 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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University Of Texas Southwestern Medical Center At Dallas Po Box 845347 Dallas TX 75284-5347 Ph: (214) 645-0624 | University Of Texas Southwestern Medical Center At Dallas 5323 Harry Hines Blvd Dallas TX 75390-7201 Ph: (214) 645-0624 |
NPI Number | 1306976865 |
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Provider Enumeration Date | 03/06/2007 |
Last Update Date | 02/15/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306976865 | NPI | - | NPPES |
126686805 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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