FIRST STEP DENTON COUNTY OUTREACH PROGRAM
Ambulatory Health at Teasley Ln, Denton, TX

License number
Texas 16645
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: KYLE E CULBERSON
Title: PROGRAM DIRECTOR
Phone: (940) 484-7837
Address
Address
1310 Teasley Ln, Denton, TX 76205
National Provider ID: 1558649996
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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FIRST STEP DENTON COUNTY OUTREACH PROGRAM LLC

Denton, TX

Status:
Inactive
Doing business as:
First Step Denton County Outreach Program LLC
Registration:
Jul 10, 2006
Addresses:
1406 N Corinth St STE 401, Denton, TX 76208 (Mailing)
1310 Teasley Ln, Denton, TX 76205
1401 N Corinth St, Denton, TX 76208
1314 Teasley Ln, Denton, TX 76205
State ID:
0800678558
Business type:
Domestic Limited Liability Company (LLC)
EXE, Director, Exes:
Deborah A Culberson (SECRETARY, Director, Secretary), 1656 Flowers Dr, Carrollton, TX 75007,Roy E Culberson (EXE, Director, Exe), 1656 Flowers Dr, Carrollton, TX 75007
Agent:
Roy E. Culberson,3105 Brookview Ln, Denton, TX 76210 (Physical)
TIN:
32020165166

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