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NPI Code Detail

MEDICARE: DALLAS COUNTY HOSPITAL DISTRICT

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
1103T00000XPsychologist
2207R00000XInternal Medicine Physician
3208000000XPediatrics Physician
42084P0800XPsychiatry Physician
5213E00000XPodiatrist
6363L00000XNurse Practitioner
7363LF0000XFamily Nurse Practitioner
8207Q00000XFamily Medicine Physician

Other Identifiers

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

General Provider Information

NPI Number : 1780621441
Entity Type Code : Organization
Provider Name (Legal Business Name) : DALLAS COUNTY HOSPITAL DISTRICT
Provider Business Mailing Address
First Line : PO BOX 660599
Second Line :
City : DALLAS
State : TX
Zip : 75266-0599
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5151 MAPLE AVE FL 4
Second Line :
City : DALLAS
State : TX
Zip : 75235-8136
Country : US
Telephone Number : 214-590-0153
Fax Number : 214-590-0172
Authorized Official
Title or Position : PRESIDENT & CHIEF EXECUTIVE OFFICER
Name : FREDERICK P. CERISE
Credential : M.D.
Telephone Number : 214-590-8006
Provider Enumeration Date : 06/01/2006
Last Update Date : 12/07/2022

Similar Medicare Providers

1568142040 — NICOLE DANIELLE SMITH MSN, WHNP-BC
Practice Location Address:
5151 MAPLE AVE STE 6A
DALLAS, TX
75235-8136
Practice Phone: 214-266-0130
Practice Fax: 214-266-0144
1750389599 — DR. JEAN A AKPAN M.D.
Practice Location Address:
5151 MAPLE AVE # 4A
DALLAS, TX
75235-8136
Practice Phone: 214-590-2800
Practice Fax: 214-590-0865
1760480602 — DALLAS COUNTY HOSPITAL DISTRICT
Practice Location Address:
5151 MAPLE AVE STE 4A
DALLAS, TX
75235-8136
Practice Phone: 214-590-2800
Practice Fax:
1982698569 — DALLAS COUNTY HOSPITAL DISTRICT
Practice Location Address:
5151 MAPLE AVE # 1-1676
DALLAS, TX
75235-8136
Practice Phone: 142-590-6323
Practice Fax: 142-590-6160
1093754475 — DALLAS COUNTY HOSPITAL DISTRICT
Practice Location Address:
5151 MAPLE AVE # 6B
DALLAS, TX
75235-8136
Practice Phone: 214-266-0110
Practice Fax: 214-266-0113
1801965991 — DALLAS COUNTY HOSPITAL DISTRICT
Practice Location Address:
5151 MAPLE AVE # 1-1676
DALLAS, TX
75235-8136
Practice Phone: 142-590-6323
Practice Fax: 142-590-6160

Directions to “DALLAS COUNTY HOSPITAL DISTRICT ” Practice Location

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