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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
1103T00000XPsychologistTX
2152W00000XOptometristTX
3152WL0500XLow Vision Rehabilitation OptometristTX
4171100000XAcupuncturist
5207Q00000XFamily Medicine PhysicianTX
6207R00000XInternal Medicine PhysicianTX
7208000000XPediatrics PhysicianTX
8213E00000XPodiatristTX
9363A00000XPhysician AssistantTX
102084P0800XPsychiatry PhysicianTX

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 : 1649278995
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 : 07/11/2005
Last Update Date : 10/18/2024

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Directions to “DALLAS COUNTY HOSPITAL DISTRICT ” Practice Location

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