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Organization

PALO PINTO COUNTY HOSPITAL DISTRICT

Active
Other names
POSSUM KINGDOM FAMILY HEALTH
Organization subpart
No

Provider details

NPI number
Authorized official
DOUGLAS P SELSOR (CFO)
(940) 328-6401
Entity
Organization

Contact information

Practice address
55 S FM 2353 STE A, GRAFORD, TX 76449-3251
(940) 664-2169
(940) 664-2173
Mailing address
400 SW 25TH AVE, MINERAL WELLS, TX 76067-8246
(940) 328-6422
(940) 328-6523

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
45D2245488
CLIA
TX
05
491793201
TX
Enumeration date
06/17/2021
Last updated
08/08/2025
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