Organization
DALLAS COUNTY HOSPITAL DISTRICT
Active
Other names
Jubilee Park Community Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK CERISE (PRESIDENT AND CEO)
(214) 590-8006
Entity
Organization
Contact information
Practice address
820 ANN AVE, DALLAS, TX 75223-2716
(214) 590-7300
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
07/18/2022
Last updated
12/07/2022
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