# ENTERPRISE PEDIATRIC CENTER OF DENISON LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LifeSteps of Denison
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508092917
- **Authorized official:** DALE L PHILLIPS JR. (MANAGER)
- **Authorized official phone:** (903) 462-4085

## Contact information

- **Practice address:** 2300 W MORTON ST, STE 114, DENISON, TX 75020-1671
- **Practice address phone:** (903) 462-4085
- **Mailing address:** 2300 W MORTON ST, STE 114, DENISON, TX 75020-1671
- **Mailing address phone:** (903) 462-4085

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | — | NULL | Yes |

## Other

- **Enumeration date:** 06/01/2009
- **Last updated:** 07/31/2009