Organization
DALLAS COUNTY HOSPITAL DISTRICT
Active
Other names
Oak West 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
4201 BROOK SPRING DR, DALLAS, TX 75224-4968
(214) 266-1450
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
213E00000X
Podiatrist
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079741702
—
TX
05
—
079741703
—
TX
05
—
079741704
—
TX
Enumeration date
06/15/2006
Last updated
12/07/2022
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