# PARKER COUNTY HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Parker County Outreach Program
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487952677
- **Authorized official:** MR. RANDY BACUS (CEO)
- **Authorized official phone:** (817) 341-2520

## Contact information

- **Practice address:** 1130 PECAN DR, WEATHERFORD, TX 76086-5774
- **Practice address phone:** (817) 341-2520
- **Practice address fax:** (817) 599-1241
- **Mailing address:** 1130 PECAN DR, WEATHERFORD, TX 76086-5774
- **Mailing address phone:** (817) 341-2520
- **Mailing address fax:** (817) 599-1241

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | NULL | — |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/11/2011
- **Last updated:** 11/25/2025