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General NPI Number Information
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NPI Number | 1912982174
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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 | 12/09/2005
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 118 S MAIN ST # 306
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City | GORDON
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State | TX
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Zip | 76453-1114
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Country | US
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Telephone | 254-693-5211
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Fax | 254-693-5774
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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 | DOUGLAS P SELSOR
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Credential |
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Telephone | 940-328-6401
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number | 34
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License Number State | TX
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