DALLAS COUNTY HOSPITAL DISTRICT NPI 1093754475

NPI Information

  • NPI: 1093754475
  • Provider Name: DALLAS COUNTY HOSPITAL DISTRICT
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Doing Business As: PEDIATRIC PRIMARY CARE CENTER
  • Address: 5151 MAPLE AVE # 6B
    DALLAS, TX
    ZIP 75235
  • Phone: (214) 266-0110

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NPI Details

DALLAS COUNTY HOSPITAL DISTRICT is a pediatrics in Dallas, TX. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DALLAS COUNTY HOSPITAL DISTRICT NPI is 1093754475. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pediatric Primary Care Center.

The provider's business location address is:

5151 MAPLE AVE # 6B
DALLAS, TX
ZIP 75235-136
Phone: (214) 266-0110
Fax: (214) 266-0113

The provider's authorized official is Fredrick P. Cerise .
The authorized official title is President & Chief Executive Officer and has the following contact phone number (214) 590-8006.

The enumeration date for this NPI number is 6/4/2006 and was last updated on 7/10/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0200XNurse PractitionerPediatricsNo
2208000000XPediatricsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1111924001MEDICAIDTEXAS
2111924002MEDICAIDTEXAS
3133247005MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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