Organization
FIRST STEP DENTON COUNTY OUTREACH PROGRAM
Active
Other names
FSOP
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE E CULBERSON (PROGRAM DIRECTOR)
(940) 484-7837
Entity
Organization
Contact information
Practice address
1310 TEASLEY LN, DENTON, TX 76205-7946
(940) 484-7837
(940) 484-7835
Mailing address
1310 TEASLEY LN, DENTON, TX 76205-7946
(940) 484-7837
(940) 484-7835
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
16645
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000000000
—
TX
Enumeration date
08/03/2011
Last updated
08/03/2011
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