| Doctor Name: | MR. ROBERT GEORGE OUTTEN |
| NPI Number: | 1174614861 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCDC |
| License Number: | 10134 |
| Business Practice Address: | 2507 Lexington Rd Beeville, TX - 781027013 |
| Business Phone Number: | 3613186257 |
| Business Fax Number: | 3613545533 |
| Mailing Address: | 2 Mesquite Cir, BEEVILLE |
| State: | TX |
| Postal Code: | 781029328 |
| Phone Number: | 3613589272 |
| Fax Number: | 3613621170 |
| NPI Enumeration Date: | 09/27/2006 |
| NPI Last Update Date: | 12/04/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 10134 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |