Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Phenomenal Outreach Center

Organization Health Maintenance Organization · NPI 1063798452

Phenomenal Outreach Center is a Health Maintenance Organization in Houston, Texas. Licensed in Texas. Registered with an NPI since 2011.

Licensed in
TX
In the registry since
2011

Practice location Address checks out

6102 Laura Koppe Rd
Houston, TX 77016-5440
Phone: (832) 877-2207
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Maintenance Organization (primary) Taxonomy 302R00000X (TX)

Record details

NPI number1063798452
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Jackson — Owner/Program Manager · (832) 877-2207
NPI enumeratedOctober 29, 2011
Last updated in NPPESNovember 7, 2011
Mailing address6102 Laura Koppe Rd, Houston, TX 77016-5440

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