=====================================================
General NPI Number Information
=====================================================
NPI Number | 1871422071
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PROPHETIC OUTREACH MINISTRIES INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/15/2026
-----------------------------------------------------
Last Update Date | 05/15/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 300 S LOOP 288 APT 7108
-----------------------------------------------------
City | DENTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76205-4523
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 213-509-8592
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 50662
-----------------------------------------------------
City | DENTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76206-0662
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 213-509-8592
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | CURTIS LEE BROWN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 213-509-8592
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 342000000X
-----------------------------------------------------
Taxonomy Name | Transportation Network Company
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------