OrganizationActive
Genetic Diagnostic Group
NPI 1063665941 · Clinical Biochemical Genetics Physician · Dallas, TX
Provider details
- NPI number
- 1063665941
- Entity type
- Organization
- Primary specialty
- Clinical Biochemical Genetics PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- University of Texas Southwestern Medical Center at Dallas
- Organization subpart
- Yes
- Authorized official
- Bruce Fairbanks, Vice President(214) 648-0309
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
6000 Harry Hines Blvd
Hamon Bldg, Room Na2 508a
Dallas, TX 75390-0001
Phone: (214) 645-0624
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 845347
Dallas, TX 75284-5347
Registry dates
- Enumerated
- 2008-10-23
- Last updated
- 2011-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.