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Organization

DALLAS COUNTY HOSPITAL DISTRICT

Active
Other names
Hatcher Station Health Center
Organization subpart
No

Provider details

NPI number
Authorized official
FREDERICK P. CERISE M.D. (PRESIDENT & CHIEF EXECUTIVE OFFICER)
(214) 590-8006
Entity
Organization

Contact information

Practice address
4600 SCYENE RD, DALLAS, TX 75210-2219
(214) 266-1000
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599
(214) 590-4105
(214) 590-4162

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
207Q00000X
Family Medicine Physician
Primary
207R00000X
Internal Medicine Physician
208000000X
Pediatrics Physician
208600000X
Surgery Physician
363A00000X
Physician Assistant
363LF0000X
Family Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
018569601
TX
05
109335301
TX
05
109335303
TX
Enumeration date
06/14/2006
Last updated
04/28/2025
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