Phenomenal Outreach Center

LBN: Phenomenal Outreach Center
Phenomenal Outreach Center is an health care organization with primary practice located at 6102 Laura Koppe Rd , Houston TX 77016-5440. The organization recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty. Phenomenal Outreach Center can be contacted via phone (832) 877-2207, or through Jackson, Mary Helen via phone (832) 877-2207.

Contact Information

Primary practice address
6102 Laura Koppe Rd Houston TX 77016-5440
Phone: (832) 877-2207
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Mary Helen
Phone: (832) 877-2207

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X Texas

Profile Details

NPI number 1063798452
LBN Legal business name Phenomenal Outreach Center
DBA Doing business as
Authorized official Jackson, Mary Helen
Entity Organization
Organization subpart 1 No
Enumeration date Oct 29th, 2011
Last updated Nov 7th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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