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HM12019 UNIVERSITY OF TEXAS (Active)
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Main Details
Name
UNIVERSITY OF TEXAS
Subdivision Name
SOUTHWESTERN MEDICAL CENTER
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM12019
Grant Number
H30MC24051
Additional Details
Current Program Status
Active
Registration Date
7/1/2003
Participating Start Date
7/1/2003
Participating Approval Date
7/1/2003
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
UT Southwestern Medical Center
Michele Wingate, Associate Vice President/CFO UT Southwestern Medical Group
(214) 633-2567
Primary Contact
University of Texas Southwestern Medical Center
Yu-Min Shen, Professor of Internal Medicine
(214) 648-1939
Addresses
Street Address
UT SOUTHWESTERN HEMOPHILIA CARE
5323 HARRY HINES BOULEVARD
DALLAS, TX 75390-8872
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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