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DALLAS COUNTY HOSPITAL DISTRICT NPI 1194090001


NPI Information

NPI: 1194090001
Provider Name: DALLAS COUNTY HOSPITAL DISTRICT

Doing Business As: E. CARLYLE SMITH, JR. HEALTH CENTER

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
801 CONOVER DR
GRAND PRAIRIE, TX
ZIP 75051
Phone: (214) 266-3400
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DALLAS COUNTY HOSPITAL DISTRICT is an internal medicine in Grand Prairie, TX. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DALLAS COUNTY HOSPITAL DISTRICT NPI is 1194090001. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As E. Carlyle Smith, Jr. Health Center.

The provider's business location address is:

801 CONOVER DR
GRAND PRAIRIE, TX
ZIP 75051-519
Phone: (214) 266-3400

The provider's authorized official is Frederick Cerise .
The authorized official title is President And Ceo and has the following contact phone number (214) 590-8006.

The enumeration date for this NPI number is 3/12/2012 and was last updated on 12/19/2022.


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
1103T00000XPsychologistNo
2103TC0700XPsychologistClinicalNo
3207Q00000XFamily MedicineNo
4207RG0300XInternal MedicineGeriatric MedicineNo
5208000000XPediatricsNo
62084P0800XPsychiatry & NeurologyPsychiatryNo
7363A00000XPhysician AssistantNo
8363LP0200XNurse PractitionerPediatricsNo
9207R00000XInternal MedicineYes

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
1304256601MEDICAIDTEXAS
2304256602MEDICAIDTEXAS

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: 5/5/2024

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