# OUROBOROS TEXAS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235986985
- **Authorized official:** AL BERRY (MANAGER)
- **Authorized official phone:** (469) 915-4211

## Contact information

- **Practice address:** 20514 MORRIS AVE STE D, MANVEL, TX 77578-3810
- **Practice address phone:** (469) 915-4211
- **Mailing address:** 20514 MORRIS AVE STE D, MANVEL, TX 77578-3810
- **Mailing address phone:** (469) 915-4211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/01/2024
- **Last updated:** 05/06/2024