# PALO PINTO SURGICAL ASSOCIATES, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154428134
- **Authorized official:** RALPH HAMILTON BROOKSHIRE III DO (OWNER)
- **Authorized official phone:** (940) 325-0742

## Contact information

- **Practice address:** 101 HOLLY HILL RD, SUITE A, MINERAL WELLS, TX 76067-5043
- **Practice address phone:** (940) 325-0742
- **Practice address fax:** (940) 328-1030
- **Mailing address:** 101 HOLLY HILL RD, SUITE A, MINERAL WELLS, TX 76067-5043
- **Mailing address phone:** (940) 325-0742
- **Mailing address fax:** (940) 328-1030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 08/08/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 287567601 | — | TX |