Organization
DALLAS COUNTY HOSPITAL DISTRICT
Active
Other names
Maple Women's Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK CERISE (PRESIDENT & CEO)
(214) 590-8006
Entity
Organization
Contact information
Practice address
5151 MAPLE AVE # 6A, DALLAS, TX 75235-8136
(214) 266-0130
(214) 266-0144
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599
Taxonomy
Speciality
Code
Description
License number
State
261QA0005X
Ambulatory Family Planning Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126854209
—
TX
Enumeration date
11/29/2006
Last updated
07/10/2023
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