| Internal Medicine | |
|
5151 Maple Ave 2nd Flr 2e Dallas TX 75235-8136 | |
| (214) 590-5691 | |
| (214) 590-9030 |
| Full Name | Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 5151 Maple Ave, Dallas, Texas |
| Authorized Official Name and Position | Frederick P. Cerise (PRESIDENT/CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2145908006 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Po Box 660599 Dallas TX 75266-0599 Ph: () - | Internal Medicine 5151 Maple Ave 2nd Flr 2e Dallas TX 75235-8136 Ph: (214) 590-5691 |
| NPI Number | 1033250170 |
|---|---|
| Provider Enumeration Date | 02/10/2007 |
| Last Update Date | 12/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033250170 | NPI | - | NPPES |
| 079867002 | Medicaid | TX |
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