Basic Information
| Provider Information | |||||||||
| NPI: | 1477807436 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5323 HARRY HINES BLVD | ||||||||
| Address2: | BOX 9068 | ||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 753909068 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2145907252 | ||||||||
| FaxNumber: | 2145901313 | ||||||||
| Practice Location | |||||||||
| Address1: | 5323 HARRY HINES BLVD | ||||||||
| Address2: | BOX 9068 | ||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 753909068 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2145907252 | ||||||||
| FaxNumber: | 2145901313 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/30/2012 | ||||||||
| LastUpdateDate: | 10/30/2012 | ||||||||
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| AuthorizedOfficialLastName: | CRAIG | ||||||||
| AuthorizedOfficialFirstName: | MARGARET | ||||||||
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| AuthorizedOfficialTitleorPosition: | ASSOCIATE PROFESSOR, DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 2145907252 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | L8306 | TX | Y | Hospitals | General Acute Care Hospital |
No ID Information.