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Organization

DALLAS COUNTY HOSPITAL DISTRICT

Active
Other names
Physician and Other Providers
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) 590-8006
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
TX
152W00000X
Optometrist
TX
152WL0500X
Low Vision Rehabilitation Optometrist
TX
171100000X
Acupuncturist
207Q00000X
Family Medicine Physician
TX
207R00000X
Internal Medicine Physician
TX
208000000X
Pediatrics Physician
TX
2084P0800X
Psychiatry Physician
Primary
TX
213E00000X
Podiatrist
TX
363A00000X
Physician Assistant
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
082056501
TX
Enumeration date
07/11/2005
Last updated
10/18/2024
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