Organization
DALLAS COUNTY HOSPITAL DISTRICT
Active
Other names
Adult Comprehensive Care & Engagement Support Services - ACCESS Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK P. CERISE (PRESIDENT & CEO)
(214) 590-8006
Entity
Organization
Contact information
Practice address
5151 MAPLE AVE, STE 2A, DALLAS, TX 75235-8136
(214) 590-5182
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599
(214) 590-4105
(214) 590-4162
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RI0200X
Infectious Disease Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LW0102X
Women's Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080022901
—
TX
Enumeration date
12/19/2006
Last updated
12/07/2022
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