Organization
DALLAS COUNTY HOSPITAL DISTRICT
Active
Other names
Brentwood Place Four
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK P CERISE M.D. (CEO)
(214) 590-8006
Entity
Organization
Contact information
Practice address
3505 S BUCKNER BLVD, BUILDING 5, DALLAS, TX 75227-5534
(214) 381-1815
Mailing address
5200 HARRY HINES BLVD, DALLAS, TX 75235-7709
(214) 590-8006
(214) 590-8096
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001026677
—
TX
Enumeration date
09/01/2010
Last updated
11/16/2018
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