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Organization

OUTLAW HEALTH SERVICES, LLC

Active
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Organization

OUTLAW HEALTH SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KRYSTAL OUTLAW NP (MANAGER)
(757) 748-4643
Entity
Organization

Contact information

Practice address
4016 GROTTO DR, ROYSE CITY, TX 75189-3147
(945) 899-0800
Mailing address
4016 GROTTO DR, ROYSE CITY, TX 75189-3147
(757) 748-4643

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—

Other

Enumeration date
10/30/2023
Last updated
03/19/2026
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