NPI 1063798452

Phenomenal Outreach Center

Organisation Health Maintenance Organization Houston, TX

Practice location

Address: 6102 Laura Koppe Rd, Houston, TX 77016-5440
Phone: (832) 877-2207

Authorised official

Name: Mary Helen Jackson
Title: Owner/Program Manager
Phone: (832) 877-2207

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

Other Health Maintenance Organization providers in Texas →

Registry record

NPI: 1063798452
Entity type: Organization
NPI issued: 29 Oct 2011
Record last updated: 7 Nov 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.