Organization
DALLAS COUNTY HOSPITAL DISTRICT
Active
Other names
Garland Women's Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK P. CERISE (PRESIDENT & CEO)
(214) 590-8006
Entity
Organization
Contact information
Practice address
601 CLARA BARTON BLVD STE 200, GARLAND, TX 75042-5755
(214) 266-0780
(214) 266-0704
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193024001
—
TX
05
—
193024002
—
TX
05
—
193024003
—
TX
Enumeration date
01/31/2008
Last updated
12/12/2022
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