OrganizationUt Southwestern Medical Center(<Unavail>)PediatricsAllopathic & Osteopathic PhysiciansPractice Address1935 Medical District Dr, Dallas, TX 75235-7701(214) 456-7593PECOS EnrollmentBased on the most recent information from CMS, provider Ut Southwestern Medical Center does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1710153234Provider TypeOrganizationFull NameUt Southwestern Medical CenterOther Name<Unavail>SubpartNoEnumeration Date5/5/2008Last Updated5/5/2008Contact InformationPractice LocationPractice Address1935 Medical District Dr, Dallas, TX 75235-7701Phone(214) 456-7593FaxUnlisted FaxMailing LocationMailing Address1935 Medical District Dr, Dallas, TX 75235-7701PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameKernie, Steven G. (Director Of Pediatric Critical Care)Phone(214) 456-7593Provider TaxonomiesCodeDescriptionLicenseCode208000000XPrimaryDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer