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Organization

DALLAS COUNTY HOSPITAL DISTRICT

Active
Other names
Oak 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
4201 BROOK SPRING DR, DALLAS, TX 75224-4968
(214) 266-1400
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
195120401
TX
Enumeration date
08/29/2008
Last updated
12/12/2022
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