Organization
PALO PINTO GENERAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HARRIS W BROOKS (CEO)
(940) 328-6403
Entity
Organization
Contact information
Practice address
400 SW 25TH AVE, MINERAL WELLS, TX 76067-8246
(940) 325-7891
(940) 328-6523
Mailing address
400 SW 25TH AVE, MINERAL WELLS, TX 76067-8246
(940) 325-7891
(940) 328-6523
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
34
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012793801
—
TX
Enumeration date
09/13/2006
Last updated
08/28/2008
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