Healthcare Provider Details
I. General information
NPI: 1467628248
Provider Name (Legal Business Name): PALO PINTO COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/01/2008
Last Update Date: 08/08/2025
Certification Date: 08/08/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
118 S MAIN ST
GORDON TX
76453
US
IV. Provider business mailing address
400 SW 25TH AVE
MINERAL WELLS TX
76067-8246
US
V. Phone/Fax
- Phone: 254-693-5211
- Fax: 254-693-5774
- Phone: 940-325-7891
- Fax: 940-328-6523
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA0005X |
| Taxonomy | Ambulatory Family Planning Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
DOUGLAS
P
SELSOR
Title or Position: CFO
Credential:
Phone: 940-325-7891