Healthcare Provider Details

I. General information

NPI: 1215157219
Provider Name (Legal Business Name): PALO PINTO COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13965 S FM 4
SANTO TX
76472-0000
US

IV. Provider business mailing address

13965 S FM 4
SANTO TX
76472-0000
US

V. Phone/Fax

Practice location:
  • Phone: 940-769-2018
  • Fax: 940-328-6523
Mailing address:
  • Phone: 940-769-2018
  • Fax: 940-328-6523

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0005X
TaxonomyAmbulatory Family Planning Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. HARRIS BROOKS
Title or Position: CEO
Credential:
Phone: 940-325-7891