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FP78712 The University of Texas at Austin - Dell Medical School (Terminated)
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Main Details
Name
The University of Texas at Austin - Dell Medical School
Subdivision Name
UT Health Austin
Type
Family Planning (Title X only)
340B ID
FP78712
Grant Number
FPHPA006401
Additional Details
Current Program Status
Terminated
Registration Date
10/10/2018
Participating Start Date
1/1/2019
Participating Approval Date
10/17/2018
Last Recertification Date
5/13/2019
Termination Date
Termination Reason
10/1/2019
Terminated - Reason unknown
Contacts
Authorizing Official
Dell Medical School, MD
Clay Johnston, Vice President for Medical Affairs and Dean
(512) 495-5000
Primary Contact
Dell Medical School - UT Austin
Haley Gardiner, Assistant Director - Women's Health
(512) 324-7000 Ext: 80144
Addresses
Street Address
1601 Trinity Street
Austin, TX 78712
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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