Organization · Type 2 NPI

University of Texas Southwestern Medical Center at Dallas

Pediatrics Physician · Southlake, TX

NPI number 1275838732 Active

Practice location

470 East State Hwy 114
Southlake, TX 76092-7625

Fax (214) 645-0624

Mailing address

PO Box 845347
Dallas, TX 75284-7208

Specialties and licenses

TaxonomyCodeLicense
Anesthesiology Physician 207L00000XNone listed
Internal Medicine Physician 207R00000XNone listed
Hepatology Physician 207RI0008XNone listed
Nephrology Physician 207RN0300XNone listed
Ophthalmology Physician 207W00000XNone listed
Otolaryngology Physician 207Y00000XNone listed
Anatomic Pathology & Clinical Pathology Physician 207ZP0102XNone listed
Pediatrics Physician Primary 208000000XNone listed
Physical Medicine & Rehabilitation Physician 208100000XNone listed
Psychiatry Physician 2084P0800XNone listed
Body Imaging Physician 2085B0100XNone listed
Diagnostic Radiology Physician 2085R0202XNone listed
Surgery Physician 208600000XNone listed
Urology Physician 208800000XNone listed
Certified Registered Nurse Anesthetist 367500000XNone listed

Pediatrics Physician: 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 de…

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About NPI 1275838732

University of Texas Southwestern Medical Center at Dallas's National Provider Identifier is 1275838732, issued on Jan 14, 2011. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Southlake, TX. The record was last updated on Sep 28, 2026.