Provider First Line Business Practice Location Address:
UT SOUTHWESTERN MEDICAL CENTER AT DALLAS SHP
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75390-9082
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-648-1500
Provider Business Practice Location Address Fax Number:
214-648-1505
Provider Enumeration Date:
07/15/2024