MEDICARE: DALLAS COUNTY HOSPITAL DISTRICT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	675136	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194728220
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DALLAS COUNTY HOSPITAL DISTRICT

Provider Business Mailing Address
First Line	:	3345 MEDPARK DR.
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76210
Country	:	US
Telephone Number	:	940-387-8508
Fax Number	:	940-898-8761

Provider Business Practice Location Address
First Line	:	3345 MEDPARK DR.
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76210
Country	:	US
Telephone Number	:	940-387-8508
Fax Number	:	940-898-8761

Authorized Official
Title or Position	:	CEO
Name	:	FREDERICK CERISE
Credential	:
Telephone Number	:	214-590-8006

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	10/30/2023

Similar Medicare Providers

1972146629 — ALESSONDRA STEPHENS
Practice Location Address:

2701 SHORELINE DR STE 151
DENTON, TX
76210-0176

Practice Phone: 214-778-1153
Practice Fax:

1659221687 — MRS. TRACIE MARIE WILLIAMS FNP-BC
Practice Location Address:

2225 REDONDO RD
DENTON, TX
76210-4644

Practice Phone: 254-722-9628
Practice Fax:

1780745679 — RANDI L JONES PA-C
Practice Location Address:

3200 COLORADO BLVD STE 101
DENTON, TX
76210-6875

Practice Phone: 940-331-7222
Practice Fax: 940-514-2224

1609627678 — ANIL NAGPAL PMHNP
Practice Location Address:

2717 WIND RIVER LN STE 133
DENTON, TX
76210-2989

Practice Phone: 516-515-9100
Practice Fax: 516-515-9100

1629071162 — MS. STEPHANIE HELENE TATALOS RN, WHNP-BC
Practice Location Address:

3537 S I-35 E , STE 210
DENTON, TX
76210-6800

Practice Phone: 940-381-2313
Practice Fax: 940-381-5249

1265435705 — MRS. JAY PATRICE CAPAN RN, PHCNS-BC
Practice Location Address:

3537 S I-35 E , SUITE 210
DENTON, TX
76210-6800

Practice Phone: 940-381-2313
Practice Fax:

Directions to “DALLAS COUNTY HOSPITAL DISTRICT ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.