Ut Southwestern Medical Center

NPI #1194984757 in Dallas, Texas

Provider Information

NPI Number: 1194984757
Entity Type: Organization
Organization Name: Ut Southwestern Medical Center
Primary Specialty: Physician Assistant
Enumeration Date: Jun 8, 2008
Last Updated: Sep 4, 2013

Practice Location

Address: 5323 HARRY HINES BLVD
City: Dallas
State: Texas
ZIP Code: 75390-7201
Phone: (972) 451-0617

Authorized Official

Name: MR. WISAM NACHAWATI, P.A.
Title: PHYSICIAN ASSISTANT
Phone: (972) 451-0617

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Acute Care Hospital	282N00000X
Physician Assistant	363A00000X	Primary

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