MEDICARE: UNIVERSITY OF TEXAS AT AUSTIN DELL MEDICAL SCHOOL

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
1	261QA1903X	Ambulatory Surgical Clinic/Center

General Provider Information

NPI Number	:	1780218305
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSITY OF TEXAS AT AUSTIN DELL MEDICAL SCHOOL

Provider Business Mailing Address
First Line	:	PO BOX 739960
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75373-9960
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1601 TRINITY ST
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78712-1765
Country	:	US
Telephone Number	:	833-882-2737
Fax Number	:

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	JON ALFORD
Credential	:
Telephone Number	:	405-248-8842

Provider Enumeration Date	:	02/24/2020
Last Update Date	:	03/03/2026

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