Healthcare Provider Details

I. General information

NPI: 1750652756
Provider Name (Legal Business Name): GAINESVILLE HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2012
Last Update Date: 01/23/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1902 HOSPITAL BLVD SUITE G
GAINESVILLE TX
76240-2007
US

IV. Provider business mailing address

1900 HOSPITAL BLVD
GAINESVILLE TX
76240-2002
US

V. Phone/Fax

Practice location:
  • Phone: 940-612-8770
  • Fax: 940-612-8779
Mailing address:
  • Phone: 940-612-8616
  • Fax: 940-612-8601

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. JULIE JANAE HALL
Title or Position: DIRECTOR
Credential:
Phone: 940-612-8616