Organization
DALLAS COUNTY HOSPITAL DISTRICT
Active
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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