Organization
DALLAS COUNTY HOSPITAL DISTRICT
Active
Other names
Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK P. CERISE M.D. (PRESIDENT/CHIEF EXECUTIVE OFFICER)
(214) 590-8006
Entity
Organization
Contact information
Practice address
5151 MAPLE AVE, 2ND FLR 2E, DALLAS, TX 75235-8136
(214) 590-5691
(214) 590-9030
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079867002
—
TX
Enumeration date
02/10/2007
Last updated
12/07/2022
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