# DALLAS COUNTY HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brentwood Place Four
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700193588
- **Authorized official:** FREDERICK P CERISE M.D. (CEO)
- **Authorized official phone:** (214) 590-8006

## Contact information

- **Practice address:** 3505 S BUCKNER BLVD, BUILDING 5, DALLAS, TX 75227-5534
- **Practice address phone:** (214) 381-1815
- **Mailing address:** 5200 HARRY HINES BLVD, DALLAS, TX 75235-7709
- **Mailing address phone:** (214) 590-8006
- **Mailing address fax:** (214) 590-8096

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 09/01/2010
- **Last updated:** 11/16/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001026677 | — | TX |