THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS (NPI# 1275838732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275838732 |
| Entity Type | Organization |
| Organization Name | THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS |
| Other Organization Name | MULTI SPECIALTY CLINIC IN TARRANT COUNTY |
| Practice Address |
470 East State Hwy 114 Southlake TX 76092-7625 |
| Mailing Address |
Po Box 845347 Dallas TX 75284-7208 |
| Practice Telephone | 2146450624 |
| Practice Fax Number | 2146450624 |
| Mailing Telephone | 2146450624 |
| Mailing Fax Number | 2146450078 |
| Enumeration Date | 2011-01-14 |
| Last Update Date | 2017-09-16 |
| Authorized Official Name | BRUCE A. MEYER (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Telephone | 2146450624 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RI0008X |
Internal Medicine Specialization: Hepatology |
Allopathic & Osteopathic Physicians | ||
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians | ||
| N | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians | ||
| N | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians | ||
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 2085B0100X |
Radiology Specialization: Body Imaging |
Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Multi Specialty Clinic in Tarrant County | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780214114 | The University of Texas Southwestern Medical Center At Dallas | Pharmacy | 12500 Dallas Pwky, Ste 1.200, Frisco, TX 75033 | 2020-01-24 |
| 1861914558 | The University of Texas Southwestern Medical Center At Dallas | Pediatrics | 7601 Preston Rd., Plano, TX 75024 | 2017-07-13 |
| 1508921313 | The University of Texas Southwestern Medical Center At Dallas | Home Health | 6333 Forest Park Road, Suite Blb 304, Dallas, TX 75390-9279 | 2006-12-22 |
| 1497720353 | The University of Texas Southwestern Medical Center At Dallas | Clinic/Center | 5801 Forest Park Rd, Dallas, TX 75390-9183 | 2006-02-22 |
| 1609420025 | The University of Texas Southwestern Medical Center At Dallas | Pharmacy | 5303 Harry Hines Blvd, Suite 100 James Aston Ambulatory Care Center, Dallas, TX 75390-8862 | 2019-07-25 |
| 1912569583 | The University of Texas Southwestern Medical Center At Dallas | Clinic/Center | 5303 Harry Hines Blvd Fl 6, Dallas, TX 75390-7208 | 2019-07-03 |
| 1144752502 | The University of Texas Southwestern Medical Center At Dallas | Durable Medical Equipment & Medical Supplies | 1801 Inwood Rd, Dallas, TX 75390-9087 | 2017-04-03 |
| 1912226572 | The University of Texas Southwestern Medical Center At Dallas | Clinical Medical Laboratory | 5323 Harry Hines Blvd., Dallas, TX 75284-5347 | 2010-05-21 |
| 1245364058 | The University of Texas Southwestern Medical Center At Dallas | Surgery | 1626 W Highway 287 Business, Suite 102, Waxahachie, TX 75165-4712 | 2007-03-15 |
| 1750411286 | The University of Texas Southwestern Medical Center At Dallas | Family Medicine | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2007-03-06 |
| Street Address |
470 EAST STATE HWY 114 |
| City | SOUTHLAKE |
| State | TX |
| Zip Code | 76092-7625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730718990 | Elizabeth Beazley | Family Medicine | 1050 E. Hwy 114 Suite 100, Southlake, TX 76092 | 2020-04-08 |
| 1518508894 | Arbor Pediatrics, Pllc | Pediatrics | 1130 N Kimball Ave, Southlake, TX 76092 | 2019-10-08 |
| 1346882685 | Gs Ortho Assists, Pllc | Physician Assistant | 2600 East Southlake Boulevard Suite 120, Southlake, TX 76092 | 2019-10-08 |
| 1609340496 | Rebecca Leigh Lander | Physician Assistant | 1170 N Carroll Ave., Southlake, TX 76092 | 2019-01-15 |
| 1225506223 | Physicians Wellness Associates Pllc | Family Medicine | 1920 East State Highway 114, Southlake, TX 76092 | 2018-11-07 |
| 1740762459 | Brandi L. Barker | Chiropractor | 590 N. Kimball Ave, Suite 140, Southlake, TX 76092 | 2018-08-30 |
| 1033699228 | Julie A. Seeber | Physical Therapy Assistant | 170 Stonebridge Lane, Southlake, TX 76092 | 2018-08-16 |
| 1992281364 | Alayna Powers | Nurse Practitioner | 900 E Southlake Blvd Ste 300, Southlake, TX 76092 | 2018-07-18 |
| 1346732153 | Amrittej Singh Virk | Dentist | 630 N Kimball Ave Ste 110, Southlake, TX 76092 | 2018-06-06 |
| 1740779594 | Radiant Family Dental Pllc | Dentist | 2012 Southlake Glen Dr., Southlake, TX 76092 | 2018-05-08 |
| Find all providers in zip 76092 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518508894 | Arbor Pediatrics, Pllc | Pediatrics | 1130 N Kimball Ave, Southlake, TX 76092 | 2019-10-08 |
| 1679991897 | Grace Kim | Pediatrics | 925 E Southlake Blvd, Suite 100, Southlake, TX 76092 | 2014-04-03 |
| 1467611046 | Walter Watkins Barret | Pediatrics | 603 Regency Crossing, Southlake, TX 76092 | 2008-06-09 |
| 1861418907 | Melissa D Asgaonkar | Pediatrics | 1130 N Kimball Ave Ste 100, Southlake, TX 76092-4732 | 2006-07-14 |
| 1811996663 | Althea K Jarrett | Pediatrics | 2727 E Southlake Blvd, Southlake, TX 76092-6613 | 2005-07-14 |
| 1114222312 | Cook Children's Medical Center | Pediatrics | 2727 E Southlake Blvd, Southlake, TX 76092-6613 | 2011-01-19 |
| 1508027004 | Jacqueline R Hanna | Pediatrics | 2727 E Southlake Blvd, Southlake, TX 76092-6613 | 2008-06-18 |
| 1235345265 | Sharhonda Marie Ansley | Pediatrics | 2727 E Southlake Blvd, Southlake, TX 76092-6613 | 2007-05-15 |
| 1972719417 | Agatha Anne Alexander Hunt | Pediatrics | 731 E Southlake Blvd, Suite 100, Southlake, TX 76092-6377 | 2007-05-14 |
| 1376765149 | Amy Lynn Richardson | Pediatrics | 2727 E Southlake Blvd, Southlake, TX 76092-6613 | 2007-05-02 |
| Find all providers in SOUTHLAKE | ||||
Please comment or provide details below to improve the information on THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.