Pediatric Primary Care Center
LBN: Dallas County Hospital District
Pediatric Primary Care Center is an health care organization with primary practice located at 5151 Maple Ave # 6B , Dallas TX 75235-8136. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty.
Dallas County Hospital District can be contacted via phone (214) 266-0110, or through Cerise, Fredrick P. via phone (214) 590-8006.
Contact Information
Primary practice address
5151 Maple Ave # 6B
Dallas TX 75235-8136
Phone: (214) 266-0110
Fax: (214) 266-0113
Website:
Authorized official contact:
Name: Cerise, Fredrick P. Doctor of Medicine (MD)
Phone: (214) 590-8006
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X |
Profile Details
NPI number | 1093754475 |
---|---|
LBN Legal business name | Dallas County Hospital District |
DBA Doing business as | Pediatric Primary Care Center |
Authorized official | Cerise, Fredrick P. Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jun 4th, 2006 |
Last updated | Jul 10th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1093754475 | NPPES |
Texas | MEDICAID | 111924001 | |
Texas | MEDICAID | 111924002 | |
Texas | MEDICAID | 133247005 |
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