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NPI Code Detail

MEDICARE: PALO PINTO COUNTY HOSPITAL DISTRICT

MEDICARE: PALO PINTO COUNTY HOSPITAL DISTRICT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian00J25TTX
2207R00000XInternal Medicine Physician
3208000000XPediatrics Physician
4207Q00000XFamily Medicine Physician
5261QA0005XAmbulatory Family Planning Facility
6363LA2100XAcute Care Nurse Practitioner00J25TTX
7207V00000XObstetrics & Gynecology Physician
82085R0202XDiagnostic Radiology Physician
9261QE0002XEmergency Care Clinic/Center00J25TTX
10208M00000XHospitalist Physician00J25TTX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CD2070OTHERTXMEDICARE RAILROAD
3CC2933OTHERTXMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104874767
Entity Type Code : Organization
Provider Name (Legal Business Name) : PALO PINTO COUNTY HOSPITAL DISTRICT
Provider Business Mailing Address
First Line : 400 SW 25TH AVE
Second Line :
City : MINERAL WELLS
State : TX
Zip : 76067-8246
Country : US
Telephone Number : 940-325-7891
Fax Number : 940-328-6523
Provider Business Practice Location Address
First Line : 400 SW 25TH AVE
Second Line :
City : MINERAL WELLS
State : TX
Zip : 76067-8246
Country : US
Telephone Number : 940-325-7891
Fax Number : 940-328-6523
Authorized Official
Title or Position : CFO
Name : DOUGLAS SELSOR
Credential :
Telephone Number : 940-325-7891
Provider Enumeration Date : 05/05/2006
Last Update Date : 12/17/2025

Similar Medicare Providers

1972590602 — PALO PINTO COUNTY HOSPITAL DISTRICT
Practice Location Address:
400 SW 25TH AVE
MINERAL WELLS, TX
76067-8246
Practice Phone: 940-325-7891
Practice Fax: 940-325-7903
1629054283 — PALO PINTO COUNTY HOSPITAL DISTRICT
Practice Location Address:
400 SW 25TH AVE
MINERAL WELLS, TX
76067-8246
Practice Phone: 940-328-6403
Practice Fax: 940-328-6523
1801850193 — DR. CHARLES M MYERS JR. D.O.
Practice Location Address:
400 SW 25TH AVE , DEPT OF RADIOLOGY
MINERAL WELLS, TX
76067-8246
Practice Phone: 940-325-7891
Practice Fax: 940-328-6523
1174587356 — DR. BURRES W GARRISON III D. O.
Practice Location Address:
400 SW 25TH AVE
MINERAL WELLS, TX
76067-8246
Practice Phone: 940-325-7891
Practice Fax: 940-328-6523
1366400582 — PALO PINTO COUNTY HOSPITAL DISTRICT
Practice Location Address:
400 SW 25TH AVE
MINERAL WELLS, TX
76067-8246
Practice Phone: 940-328-6547
Practice Fax: 940-328-6541
1922056993 — PALO PINTO COUNTY HOSPITAL DISTRICT
Practice Location Address:
400 SW 25TH AVE
MINERAL WELLS, TX
76067-8246
Practice Phone: 940-325-7891
Practice Fax: 940-328-7529

Directions to “PALO PINTO COUNTY HOSPITAL DISTRICT ” Practice Location

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