Organization
DALLAS COUNTY HOSPITAL DISTRICT
Active
Organization
DALLAS COUNTY HOSPITAL DISTRICT
Active
Other names
CV Roman Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK CERISE MD (PRESIDENT AND CEO)
(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
101Y00000X
Counselor
—
—
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
133N00000X
Nutritionist
—
—
133V00000X
Registered Dietitian
—
—
152W00000X
Optometrist
—
—
207Q00000X
Family Medicine Physician
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
208000000X
Pediatrics Physician
—
—
213E00000X
Podiatrist
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Enumeration date
07/13/2021
Last updated
12/07/2022
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