Healthcare Provider Details

I. General information

NPI: 1548482110
Provider Name (Legal Business Name): PALO PINTO COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 08/08/2025
Certification Date: 08/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 S MAIN STREET
GORDON TX
76453
US

IV. Provider business mailing address

400 SW 25TH AVE
MINERAL WELLS TX
76067-8246
US

V. Phone/Fax

Practice location:
  • Phone: 254-693-5211
  • Fax: 254-693-5774
Mailing address:
  • Phone: 940-325-7891
  • Fax: 940-328-6523

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. DOUGLAS P SELSOR
Title or Position: CFO
Credential:
Phone: 940-325-7891