University Of Texas Southwestern Medical Center At Dallas

(Ut Southwestern Medical Center)

Internal Medicine

Allopathic & Osteopathic Physicians

7601 Preston Rd, Suite P3600, Plano, TX 75024-3214

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 2 days ago.

Profile Details

Provider ID
1841510427
Provider Type
Organization
Full Name
University Of Texas Southwestern Medical Center At Dallas
Other Name
Ut Southwestern Medical Center

Subpart
Yes
Enumeration Date
6/7/2010
Last Updated
2/19/2013

Contact Information

Practice Location

7601 Preston Rd, Suite P3600, Plano, TX 75024-3214

(469) 303-3000

Unlisted Fax

Mailing Location

PO Box 845347, Dallas, TX 75284-5347

(214) 645-0624

(214) 645-0078

Authorized Official

Meyer, Bruce A. (Executive Vice President)

(214) 648-0309

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 103T00000X	Description Psychologist Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 207Q00000X	Description Family Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207V00000X	Description Obstetrics & Gynecology Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207X00000X	Description Orthopaedic Surgery Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 2084P0800X	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 225100000X	Description Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License Unlisted Issuer

University Of Texas Southwestern Medical Center At Dallas

(Ut Southwestern Medical Center)

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

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