University Of Texas Southwestern Medical Center At Dallas

Pediatrics

Allopathic & Osteopathic Physicians

1935 Medical District Drive, Dallas, TX 75235

PECOS Enrollment

Based on the most recent information from CMS, provider University Of Texas Southwestern Medical Center At Dallas does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 10:37 AM.

Profile Details

Provider ID
1053832253
Provider Type
Organization
Full Name
University Of Texas Southwestern Medical Center At Dallas

Subpart
No
Enumeration Date
6/28/2017
Last Updated
1/18/2023

Contact Information

Practice Location

1935 Medical District Drive, Dallas, TX 75235

(214) 456-7000

Unlisted Fax

Mailing Location

6363 Forest Park Rd Suite Bl3 300, Dallas, TX 75390-9087

(214) 648-3111

(214) 645-0078

Authorized Official

Meyer, Mark Alan (Cfo - University Hospital)

(214) 633-4804

Provider Taxonomies

Code	Description	License
Code 208000000X Primary	Description Pediatrics Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207YP0228X	Description Otolaryngology Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 2080P0202X	Description Pediatrics Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 2080P0206X	Description Pediatrics Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 2084N0402X	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 2086S0120X	Description Surgery Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 2088P0231X	Description Urology Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 231H00000X	Description Audiologist Speech, Language and Hearing Service Providers	License Unlisted Issuer

University Of Texas Southwestern Medical Center At Dallas

PECOS Enrollment

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