# DALLAS COUNTY HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Plaza at Richardson
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972566867
- **Authorized official:** FREDERICK CERISE MD (CEO)
- **Authorized official phone:** (214) 590-8006

## Contact information

- **Practice address:** 1301 RICHARDSON DR, RICHARDSON, TX 75080-4648
- **Practice address phone:** (972) 759-2180
- **Practice address fax:** (972) 759-2186
- **Mailing address:** 8505 TECHNOLOGY FOREST PL STE 1004, THE WOODLANDS, TX 77381-1186
- **Mailing address phone:** (832) 489-9944
- **Mailing address fax:** (866) 354-8161

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 116913 | TX | Yes |

## Other

- **Enumeration date:** 04/11/2006
- **Last updated:** 06/09/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001021316 | — | TX |
| 05 | — | 001026660 | — | TX |
| 01 | — | 180187001 | MEDICAID CO B | TX |