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General NPI Number Information
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NPI Number | 1841258076
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Entity Type | Organization
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Legal Business Name | PALO PINTO COUNTY HOSPITAL DISTRICT
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 400 SW 25TH AVE
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City | MINERAL WELLS
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State | TX
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Zip | 76067
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Country | US
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Telephone | 940-325-7891
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Fax | 940-328-7529
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Provider Business Mailing Address
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Address Line | 400 SW 25TH AVE
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City | MINERAL WELLS
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State | TX
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Zip | 76067-8246
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Country | US
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Telephone | 940-325-7891
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Fax | 940-328-6523
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Authorized Official
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Title or Position | CFO
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Name | MR. DOUGLAS P SELSOR
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Credential |
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Telephone | 940-325-7891
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 00C78C
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 00C78C
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License Number State | TX
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