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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
1101YP2500XProfessional Counselor
2104100000XSocial Worker
31041C0700XClinical Social Worker
4363A00000XPhysician Assistant
5363LF0000XFamily Nurse Practitioner
6363LW0102XWomen's Health Nurse Practitioner
7367A00000XAdvanced Practice Midwife
8363L00000XNurse Practitioner

Other Identifiers

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

General Provider Information

NPI Number : 1134377427
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 : 4600 SCYENE ROAD
Second Line :
City : DALLAS
State : TX
Zip : 75210-2219
Country : US
Telephone Number : 214-266-1200
Fax Number :
Authorized Official
Title or Position : PRESIDENT & CHIEF EXECUTIVE OFFICER
Name : FREDERICK P. CERISE
Credential :
Telephone Number : 214-590-8006
Provider Enumeration Date : 08/29/2008
Last Update Date : 07/03/2023

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Directions to “DALLAS COUNTY HOSPITAL DISTRICT ” Practice Location

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