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NPI Provider: 1699771212
Contact Name: Webster-Neal Susan Jackie
Position: Program Director
Phone: (361) 568-3761
Outreach 12 Information:
Outreach 12 organization have npi 1699771212, taxonomy code is 261QR0405X with license number is 1918-A in . This Business address located in PO Box 147, Encino, TX 78353 Texas. Get directions of Outreach 12.
Practice Location
Address: 2208 Primrose Ave, McAllen, TX 78504
Phone: (956) 682-6889
Business Location
Address: PO Box 147, Encino, TX 78353
Phone: (361) 325-4921
Fax: (361) 325-5768
Taxonomy
Taxonomy Code: 261QR0405X
License Number: 1918-A
License Number of State: TX
Primary Taxonomy Switch: Y
Enumeration Date: 6/28/2005
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