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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