# MOBIL OUTREACH CLINIC

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

## Provider details

- **NPI number:** 1346590593
- **Authorized official:** WAINY TESTAMICHAEL (OWNER)
- **Authorized official phone:** (832) 885-8291

## Contact information

- **Practice address:** 3922 CRESTWIND LN, RICHMOND, TX 77407-3220
- **Practice address phone:** (832) 885-8291
- **Practice address fax:** (713) 929-3621
- **Mailing address:** 3922 CRESTWIND LN, RICHMOND, TX 77407-3220
- **Mailing address phone:** (832) 885-8291
- **Mailing address fax:** (713) 929-3621

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | — | TX | Yes |

## Other

- **Enumeration date:** 09/14/2012
- **Last updated:** 09/14/2012