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

UT Southwestern

Organization Acute Care Nurse Practitioner · NPI 1477091452

UT Southwestern is an Acute Care Nurse Practitioner in Dallas, Texas. Licensed in Texas. Registered with an NPI since 2017.

Licensed in
TX
In the registry since
2017

Practice location Address checks out

5323 Harry Hines Blvd
Dallas, TX 75390-8813
Phone: (210) 677-5410
Show map & directions

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

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 701376 (TX)

Record details

NPI number1477091452
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Rubin — Supervisor · (214) 648-6410
NPI enumeratedFebruary 9, 2017
Last updated in NPPESFebruary 9, 2017
Mailing address5323 Harry Hines Blvd, Dallas, TX 75390-8813

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