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Full Life Outreach Medical Center LLC

Clinical Social Worker in Dallas, TX · enumerated 2009 · authorized official Reginald Benjamin, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1265665384

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Registry record

Entity type Organization (Type 2)
Legal business name Full Life Outreach Medical Center LLC
Other name <Unavail>
Practice address 4545 S Buckner Blvd, Dallas, TX, 75227
Phone (214) 791-2863
Enumeration date Aug 24, 2009
Last updated in NPPES Dec 15, 2025

Taxonomy & classification

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License 801062647 (TX) Primary

Authorized official

Name Reginald Benjamin
Title President
Phone (214) 791-2863

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Full Life Outreach Medical Center LLC?
The NPI for Full Life Outreach Medical Center LLC is 1265665384, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Full Life Outreach Medical Center LLC?
NPPES lists Reginald Benjamin (President) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-12-15.