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Organization

PARKER COUNTY HOSPITAL DISTRICT

Active
Other names
Parker County Outreach Program
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RANDY BACUS (CEO)
(817) 341-2520
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
208D00000X
General Practice Physician
251K00000X
Public Health or Welfare Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PH0853
PTAN
TX
Enumeration date
03/11/2011
Last updated
11/25/2025
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