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Organization
MOBIL OUTREACH CLINIC
Active
Organization
MOBIL OUTREACH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAINY TESTAMICHAEL (OWNER)
(832) 885-8291
Entity
Organization
Contact information
Practice address
3922 CRESTWIND LN, RICHMOND, TX 77407-3220
(832) 885-8291
(713) 929-3621
Mailing address
3922 CRESTWIND LN, RICHMOND, TX 77407-3220
(832) 885-8291
(713) 929-3621
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
TX
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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