Ut Msp Family Practice

LBN: University Of Texas Southwestern Medical Center At Dallas
Ut Msp Family Practice is an health care organization with primary practice located at 5323 Harry Hines Blvd , Dallas TX 75390-7208. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. University Of Texas Southwestern Medical Center At Dallas can be contacted via phone (214) 645-0624, or through Meyer, Bruce A. via phone (214) 645-0624.

Contact Information

Primary practice address
5323 Harry Hines Blvd Dallas TX 75390-7208
Fax: (214) 645-0078
Website:
Authorized official contact:
Name: Meyer, Bruce A. Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1760452387
LBN Legal business name University Of Texas Southwestern Medical Center At Dallas
DBA Doing business as Ut Msp Family Practice
Authorized official Meyer, Bruce A. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 25th, 2006
Last updated Feb 15th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760452387 NPPES
Texas MEDICAID 081891604

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