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NPI Code Detail

MEDICARE: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS

MEDICARE: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
13336L0003XLong Term Care Pharmacy
2333600000XPharmacy
33336C0003XCommunity/Retail Pharmacy18000TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12130548OTHERPK

General Provider Information

NPI Number : 1558653626
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS
Provider Business Mailing Address
First Line : 5323 HARRY HINES BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75390-9222
Country : US
Telephone Number : 469-525-5908
Fax Number : 214-645-2787
Provider Business Practice Location Address
First Line : 6202 HARRY HINES BLVD NM 2.850
Second Line :
City : DALLAS
State : TX
Zip : 75390-9015
Country : US
Telephone Number : 214-645-2666
Fax Number : 214-645-2787
Authorized Official
Title or Position : CFO
Name : MARK ALAN MEYER
Credential :
Telephone Number : 214-633-4804
Provider Enumeration Date : 05/09/2011
Last Update Date : 11/24/2025

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Directions to “UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS ” Practice Location

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