Healthcare Provider Details

I. General information

NPI: 1710386040
Provider Name (Legal Business Name): TITUS COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2014
Last Update Date: 08/22/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 47TH ST SE
PARIS TX
75462-7417
US

IV. Provider business mailing address

150 47TH ST SE
PARIS TX
75462-7417
US

V. Phone/Fax

Practice location:
  • Phone: 903-784-3100
  • Fax: 903-784-4945
Mailing address:
  • Phone: 903-784-3100
  • Fax: 903-784-4945

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: TERRY SCOGGIN
Title or Position: CFO
Credential:
Phone: 903-577-6066