| Ut Southwestern University Hospital - Zale Lipshy | |
|
5151 Harry Hines Boulevard Dallas TX 75390-9000 | |
| (214) 590-3172 | |
| (214) 645-4500 |
| Full Name | Ut Southwestern University Hospital - Zale Lipshy |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 5151 Harry Hines Boulevard, Dallas, Texas |
| Authorized Official Name and Position | John A Roan (EXECUTIVE VICE PRESIDENT FOR BUSINE) |
| Authorized Official Contact | 2146483572 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ut Southwestern University Hospital - Zale Lipshy Po Box 849927 Dallas TX 75284-9927 Ph: (214) 645-4455 | Ut Southwestern University Hospital - Zale Lipshy 5151 Harry Hines Boulevard Dallas TX 75390-9000 Ph: (214) 590-3172 |
| NPI Number | 1144384876 |
|---|---|
| Provider Enumeration Date | 12/20/2006 |
| Last Update Date | 02/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144384876 | NPI | - | NPPES |
| 175289101 | Medicaid | TX | |
| 175289103 | Medicaid | TX | |
| 022538501 | Medicaid | TX | |
| 175289102 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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