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University Of Texas Southwestern Medical Center At Dallas

Durable Medical Equipment & Medical Supplies in Dallas, TX. Organization (NPI-2).

NPI number1023317153
StatusActive
Last updated in NPPESJun 24, 2011

Details

NPI
1023317153
Entity type
Organization (NPI-2)
Legal business name
University Of Texas Southwestern Medical Center At Dallas
Organization subpart
Yes
Enumeration date
Mar 15, 2011
Last updated
Jun 24, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies––Yes

Other names

  • Utsw Oral Surgery Dme (Other Name)

Practice location

5939 Harry Hines Blvd
Professional Office Bldg 2, Suite 210
Dallas, TX 75390-7208

Phone 214-645-0624

Mailing address

Po Box 845347
Dallas, TX 75284-5347

Phone 214-645-0702

Authorized official

Bruce Fairbanks
Vice President
2146450624

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