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General NPI Number Information
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NPI Number | 1851361471
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS
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Dates
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Enumeration Date | 01/25/2006
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 5323 HARRY HINES BLVD
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City | DALLAS
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State | TX
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Zip | 75390-7208
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Country | US
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Telephone | 214-645-0624
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Fax | 214-645-0078
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Provider Business Mailing Address
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Address Line | PO BOX 845347
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City | DALLAS
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State | TX
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Zip | 75284-5347
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Country | US
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Telephone | 214-645-0624
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Fax | 214-645-0078
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MARK MEYER
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Credential | M.D.
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Telephone | 214-645-0624
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207WX0110X
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Taxonomy Name | Pediatric Ophthalmology and Strabismus Specialist Physician Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207WX0109X
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Taxonomy Name | Neuro-ophthalmology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207WX0120X
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Taxonomy Name | Cornea and External Diseases Specialist Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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