MEDICARE: UT PHYSICIANS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207P00000X	Emergency Medicine Physician
2	207R00000X	Internal Medicine Physician
3	207Q00000X	Family Medicine Physician
4	2084N0400X	Neurology Physician
5	367500000X	Certified Registered Nurse Anesthetist
6	363A00000X	Physician Assistant
7	363L00000X	Nurse Practitioner
8	207N00000X	Dermatology Physician
9	208000000X	Pediatrics Physician
10	208600000X	Surgery Physician
11	2084P0800X	Psychiatry Physician
12	207V00000X	Obstetrics & Gynecology Physician
13	2085R0202X	Diagnostic Radiology Physician
14	367A00000X	Advanced Practice Midwife
15	207L00000X	Anesthesiology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	140416266	OTHER	TX	CSHCN

General Provider Information

NPI Number	:	1033157821
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UT PHYSICIANS

Provider Business Mailing Address
First Line	:	PO BOX 301173
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75303-1173
Country	:	US
Telephone Number	:	713-500-3500
Fax Number	:	713-500-8630

Provider Business Practice Location Address
First Line	:	6410 FANNIN ST
Second Line	:	1500
City	:	HOUSTON
State	:	TX
Zip	:	77030-5306
Country	:	US
Telephone Number	:	832-325-7325
Fax Number	:

Authorized Official
Title or Position	:	INTERIM CHIEF OPERATING OFFICER
Name	:	CYNTHIA F HUEHLEFELD
Credential	:
Telephone Number	:	832-325-7525

Provider Enumeration Date	:	06/03/2006
Last Update Date	:	11/13/2025

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Directions to “UT PHYSICIANS ” Practice Location

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