Organization
DALLAS COUNTY HOSPITAL DISTRICT
Active
Other names
CV Roman Acute Response 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
3560 W CAMP WISDOM RD STE 100, DALLAS, TX 75237-2506
(214) 266-4000
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
05/06/2015
Last updated
12/07/2022
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