| Outshine | |
|
1109 Antoinette Dr Princeton TX 75407-2808 | |
| (972) 736-3404 | |
| (972) 736-2271 |
| Full Name | Outshine |
|---|---|
| Speciality | Counselor |
| Location | 1109 Antoinette Dr, Princeton, Texas |
| Authorized Official Name and Position | David Rene Rivas (PRESIDENT, CEO) |
| Authorized Official Contact | 9727363404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Outshine Po Box 1945 Mckinney TX 75070-8162 Ph: (972) 736-3404 | Outshine 1109 Antoinette Dr Princeton TX 75407-2808 Ph: (972) 736-3404 |
| NPI Number | 1316337066 |
|---|---|
| Provider Enumeration Date | 02/03/2015 |
| Last Update Date | 02/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316337066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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