| Ut Southwestern | |
|
5323 Harry Hines Blvd Dallas TX 75390-9006 | |
| (214) 648-2168 | |
| Not Available |
| Full Name | Ut Southwestern |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 5323 Harry Hines Blvd, Dallas, Texas |
| Authorized Official Name and Position | Tega Daniel Diejomaoh (MEDICAL STUDENT) |
| Authorized Official Contact | 3615853472 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ut Southwestern 5323 Harry Hines Blvd Dallas TX 75390-9006 Ph: () - | Ut Southwestern 5323 Harry Hines Blvd Dallas TX 75390-9006 Ph: (214) 648-2168 |
| NPI Number | 1710662093 |
|---|---|
| Provider Enumeration Date | 06/15/2023 |
| Last Update Date | 06/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710662093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
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