PALO PINTO CARES FOR KIDS – Family Medicine Physician, NPI 1922056993
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for PALO PINTO CARES FOR KIDS
101 Holly Hill Rd
Mineral Wells, TX 760675043
Phone: (940) 463-7092
Fax: (940) 463-7096
Type: Location
202 SW 25th Ave Ste 1000
Mineral Wells, TX 760678467
Phone: (940) 328-7561
Fax: (940) 328-7562
Type: Location
13965 S Fm 4
Santo, TX 764723436
Phone: (940) 769-2303
Fax: (940) 769-2306
Type: Location
400 SW 25th Ave
Mineral Wells, TX 760678246
Phone: (940) 745-0484
Fax: (940) 328-6260
Type: Location
118 S Main St
Gordon, TX 764531114
Phone: (254) 693-5211
Fax: (254) 693-5774
Type: Location
202 SW 25th Ave Ste 300
Mineral Wells, TX 760678299
Phone: (940) 328-6521
Fax: (940) 328-7501
Type: Location
55 S Fm 2353 Ste A
Graford, TX 764493251
Phone: (940) 664-2169
Fax: (940) 664-2173
Type: Location
202 SW 25th Ave Ste 700
Mineral Wells, TX 760678459
Phone: (940) 328-7588
Fax: (940) 328-7589
Type: Location
Palo Pinto General Hospital, 400, Southwest 25th Avenue, Mineral Wells, Palo Pinto County, Texas, 76067, United States
MINERAL WELLS, TX 760678246
Phone: (940) 325-7891
Fax: (940) 328-6523
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20031106000393 | O | Clinic/Group Practice | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 76067)
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Reviews
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