Organization
DALLAS COUNTY HOSPITAL DISTRICT
Active
Other names
WISH Tubal Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK P. CERISE M.D. (PRESIDENT/CHIEF EXECUTIVE OFFICER)
(214) 590-8006
Entity
Organization
Contact information
Practice address
5200 HARRY HINES BLVD, DALLAS, TX 75235-7709
(214) 590-5306
(214) 590-2798
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
—
126854213
—
TX
Enumeration date
11/30/2006
Last updated
12/12/2022
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