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Organization

DALLAS COUNTY HOSPITAL DISTRICT

Active
Other names
Hatcher Station Women's Health Center
Organization subpart
No

Provider details

NPI number
Authorized official
FREDERICK P. CERISE (PRESIDENT & CHIEF EXECUTIVE OFFICER)
(214) 590-8006
Entity
Organization

Contact information

Practice address
4600 SCYENE ROAD, DALLAS, TX 75210-2219
(214) 266-1200
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
104100000X
Social Worker
1041C0700X
Clinical Social Worker
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner
Primary
363LF0000X
Family Nurse Practitioner
363LW0102X
Women's Health Nurse Practitioner
367A00000X
Advanced Practice Midwife

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
195779701
TX
Enumeration date
08/29/2008
Last updated
07/03/2023
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