Organization
DALLAS COUNTY HOSPITAL DISTRICT
Active
Other names
Lake West Women's Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK P. CERISE (PRESIDENT & CHIEF EXECUTIVE OFFICER)
(214) 590-8006
Entity
Organization
Contact information
Practice address
3737 GOLDMAN ST, BLDG A, SUITE 100, DALLAS, TX 75212-2471
(214) 266-0900
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LW0102X
Women's Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
196202901
—
TX
Enumeration date
08/29/2008
Last updated
12/12/2022
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