Ut Southwestern Medical Center

NPI 1194984757 - General Acute Care Hospital - 282N00000X

NPI Details
NPI 1194984757
Enumeration Date 06/08/2008
Last Updated 09/04/2013
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name WISAM WISAM
Position PHYSICIAN ASSISTANT
Phone (972) 451-0617
Fax
Practice Location
5323 HARRY HINES BLVD
DALLAS TX, 75390-7201, US
Phone (972) 451-0617
Fax
Business Location
PO BOX 845347
DALLAS TX, 75284-5347, US
Phone (972) 451-0617
Fax
Toxanomy
Taxonomy Code 282N00000X
License State Texas
License Number PA04785
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According to our database, Ut Southwestern Medical Center NPI is 1194984757, taxonomy code is 282N00000X and license number is PA04785, license state is located at Texas. Ut Southwestern Medical Center physically located at 5323 Harry Hines Blvd, Dallas TX, 75390-7201. NPI Number 1033115704 has the healthcare provider type.

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1194984757 NPI number is provided on an as is basis without warranty of any kind. 1194984757 is maintained by the National Plan & Provider Enumeration System. The contents of Ut Southwestern Medical Center are for informational purposes only.