| NPI | 1154780245 |
|---|---|
| Doing Business As | SOUTHEAST DALLAS ACUTE RESPONSE CLINIC |
| Entity Type | Organization |
| Authorized Contact | FREDERICK P CERISE President & Chief Executive Officer 214-590-8006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 104100000X Social Worker |
| 207Q00000X Family Medicine | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2022-12-07 |