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Organization

PALO PINTO COUNTY HOSPITAL DISTRICT

Active
Other names
Community Care Center
Organization subpart
No

Provider details

NPI number
Authorized official
DOUGLAS P SELSOR (CFO)
(940) 325-7891
Entity
Organization

Contact information

Practice address
202 SW 25TH AVE, SUITE 300, MINERAL WELLS, TX 76067
(940) 328-6521
(940) 328-7501
Mailing address
400 SW 25TH AVE, MINERAL WELLS, TX 76067-8246
(940) 328-6521
(940) 328-6523

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
261Q00000X
Clinic/Center
TX
261QR1300X
Rural Health Clinic/Center
Primary
34
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
111683203
TX
05
111683204
TX
Enumeration date
12/12/2005
Last updated
08/08/2025
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