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Organization

DALLAS COUNTY HOSPITAL DISTRICT

Active
Other names
WISH Campus
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) 590-8383
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
363LN0000X
Neonatal Nurse Practitioner
363LP0200X
Pediatric Nurse Practitioner
363LW0102X
Women's Health Nurse Practitioner
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
195175801
TX
Enumeration date
08/29/2008
Last updated
12/12/2022
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