Healthcare Provider Details

I. General information

NPI: 1215828678
Provider Name (Legal Business Name): PARKER COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2025
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 REUNION CT
GRANBURY TX
76048-1610
US

IV. Provider business mailing address

600 REUNION CT
GRANBURY TX
76048-1610
US

V. Phone/Fax

Practice location:
  • Phone: 817-573-3773
  • Fax:
Mailing address:
  • Phone: 817-573-3773
  • Fax:

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: RANDY BACUS
Title or Position: CEO
Credential:
Phone: 817-341-2520