Healthcare Provider Details

I. General information

NPI: 1336124411
Provider Name (Legal Business Name): PALO PINTO COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2005
Last Update Date: 08/08/2025
Certification Date: 08/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13965 S FM 4 # 65
SANTO TX
76472-3436
US

IV. Provider business mailing address

400 SW 25TH AVE
MINERAL WELLS TX
76067-8246
US

V. Phone/Fax

Practice location:
  • Phone: 940-769-2303
  • Fax: 940-769-2306
Mailing address:
  • Phone: 940-769-2303
  • Fax: 940-328-6523

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number000034
License Number StateTX

VIII. Authorized Official

Name: DOUGLAS P SELSOR
Title or Position: CFO
Credential:
Phone: 940-328-6401