Healthcare Provider Details

I. General information

NPI: 1205235520
Provider Name (Legal Business Name): PALO PINTO COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2014
Last Update Date: 08/08/2025
Certification Date: 08/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

806 STEPHENS ST
CLYDE TX
79510-4554
US

IV. Provider business mailing address

806 STEPHENS ST
CLYDE TX
79510-4554
US

V. Phone/Fax

Practice location:
  • Phone: 325-893-4288
  • Fax: 325-893-2568
Mailing address:
  • Phone: 325-893-4288
  • Fax: 325-893-2568

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: DOUGLAS P SELSOR
Title or Position: CFO
Credential:
Phone: 940-328-6401