Healthcare Provider Details
I. General information
NPI: 1730876558
Provider Name (Legal Business Name): TITUS COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/21/2023
Last Update Date: 04/16/2025
Certification Date: 04/16/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2101 MULBERRY AVE
MOUNT PLEASANT TX
75455-1105
US
IV. Provider business mailing address
2001 N JEFFERSON AVE
MT PLEASANT TX
75455-2338
US
V. Phone/Fax
- Phone: 903-434-4850
- Fax:
- Phone: 903-577-6000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QX0203X |
| Taxonomy | Radiation Oncology Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
PATTY
BOECKMANN
Title or Position: CEO
Credential:
Phone: 903-577-6059