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General NPI Number Information
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NPI Number | 1821610205
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Entity Type | Organization
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Legal Business Name | WINNERS CIRCLE GROUP OF TEXAS INC
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Dates
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Enumeration Date | 05/08/2020
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 11811 NORTH FWY STE 385
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City | HOUSTON
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State | TX
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Zip | 77060-3250
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Country | US
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Telephone | 972-499-5066
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Fax |
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Provider Business Mailing Address
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Address Line | 11811 NORTH FWY STE 410
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City | HOUSTON
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State | TX
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Zip | 77060-3287
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Country | US
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Telephone | 972-499-5066
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | BERNADETTE VINCENT
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Credential |
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Telephone | 972-499-5066
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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