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General NPI Number Information
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NPI Number | 1487952677
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Entity Type | Organization
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Legal Business Name | PARKER COUNTY HOSPITAL DISTRICT
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Dates
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Enumeration Date | 03/11/2011
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 1130 PECAN DR
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City | WEATHERFORD
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State | TX
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Zip | 76086-5774
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Country | US
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Telephone | 817-341-2520
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Fax | 817-599-1241
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Provider Business Mailing Address
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Address Line | 1130 PECAN DR
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City | WEATHERFORD
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State | TX
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Zip | 76086-5774
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Country | US
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Telephone | 817-341-2520
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Fax | 817-599-1241
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Authorized Official
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Title or Position | CEO
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Name | MR. RANDY BACUS
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Credential |
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Telephone | 817-341-2520
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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