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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
1261QA0005XAmbulatory Family Planning Facility

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 : 1346434768
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 : 3737 GOLDMAN ST
Second Line : BLDG A, STE 100
City : DALLAS
State : TX
Zip : 75212-2471
Country : US
Telephone Number : 214-266-0900
Fax Number :
Authorized Official
Title or Position : PRESIDENT & CHIEF EXECUTIVE OFFICER
Name : FREDERICK P. CERISE
Credential : M.D.
Telephone Number : 214-590-8006
Provider Enumeration Date : 08/29/2007
Last Update Date : 12/12/2022

Similar Medicare Providers

1780832071 — DALLAS COUNTY HOSPITAL DISTRICT
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1013635663 — MOLLY MCMILLIN
Practice Location Address:
3737 GOLDMAN ST
DALLAS, TX
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1861196842 — MS. KAILA BERGAIL WHERRY PA-C
Practice Location Address:
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75212-2471
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1134823107 — ASHANTI ANDERSON
Practice Location Address:
3737 GOLDMAN ST
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Directions to “DALLAS COUNTY HOSPITAL DISTRICT ” Practice Location

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