Organization
GAINESVILLE HOSPITAL DISTRICT
Active
Other names
NTMC Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDOLPH BROWN BACUS (CEO)
(940) 612-8600
Entity
Organization
Contact information
Practice address
801 N GRAND AVE, SUITE 4, GAINESVILLE, TX 76240-3573
(940) 612-8770
(940) 612-8779
Mailing address
1900 HOSPITAL BLVD, GAINESVILLE, TX 76240-2002
(940) 665-1751
(940) 612-8601
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/08/2012
Last updated
03/08/2012
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