Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

The University of Texas Southwestern Medical Center at Dallas

Organization Physical Medicine & Rehabilitation Physician · NPI 1417099599

The University of Texas Southwestern Medical Center at Dallas is a Physical Medicine & Rehabilitation Physician in Tyler, Texas. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

1000 S Beckham Ave
Tyler, TX 75701-1908
Phone: (214) 645-0624
Fax: (214) 645-0078
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X

Record details

NPI number1417099599
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bruce Fairbanks — Vice President · (214) 645-0624
Other names Ut Southwestern Physical Medicine And Rehabilitation
NPI enumeratedFebruary 13, 2007
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 854347, Dallas, TX 75284-5347

Other providers in Tyler