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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
1363L00000XNurse PractitionerTX
2363LA2100XAcute Care Nurse PractitionerTX
3363LA2200XAdult Health Nurse PractitionerTX
4363LF0000XFamily Nurse PractitionerTX
5363LG0600XGerontology Nurse PractitionerTX
6363LN0000XNeonatal Nurse PractitionerTX
7363LP0200XPediatric Nurse PractitionerTX
8363LP0808XPsychiatric/Mental Health Nurse PractitionerTX
9363LS0200XSchool Nurse PractitionerTX
10363LX0001XObstetrics & Gynecology Nurse PractitionerTX
11364S00000XClinical Nurse SpecialistTX
12363LW0102XWomen's Health Nurse PractitionerTX

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 : 1831198506
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 : 5200 HARRY HINES BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75235-7709
Country : US
Telephone Number : 214-590-8006
Fax Number :
Authorized Official
Title or Position : PRESIDENT/CHIEF EXECUTIVE OFFICER
Name : DR. FREDERICK P. CERISE
Credential : M.D.
Telephone Number : 214-590-8006
Provider Enumeration Date : 07/15/2005
Last Update Date : 10/18/2024

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Directions to “DALLAS COUNTY HOSPITAL DISTRICT ” Practice Location

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