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General NPI Number Information
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NPI Number | 1912637539
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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 | 06/15/2022
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 3450 W CAMP WISDOM RD STE 1.510
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City | DALLAS
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State | TX
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Zip | 75237-2504
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Country | US
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Telephone | 469-372-6101
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Fax |
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Provider Business Mailing Address
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Address Line | 3450 W CAMP WISDOM RD STE 1.510
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City | DALLAS
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State | TX
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Zip | 75237-2504
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Country | US
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Telephone | 469-372-6101
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Fax |
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Authorized Official
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Title or Position | HEALTH SYSTEM CFO
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Name | MARK ALAN MEYER
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Credential |
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Telephone | 214-633-4804
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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