Laura Michelle Divine, MD - Dallas, TX

Laura Michelle Divine, MD

Student in an Organized Health Care Education/Training Program in Dallas, Texas

NPI 1255659173

Laura Michelle Divine is a Student in an Organized Health Care Education/Training Program based in Dallas, TX. Laura Michelle Divine practices in Dallas, TX and has the professional credentials of MD. The NPI Number for Laura Michelle Divine is 1255659173 and holds a License No. R3314 (Texas).

The current practice location address for Laura Michelle Divine is 3410 Worth St Ste 400, Dallas, TX and can be reached out via phone at 214-370-1300 and via fax at 214-370-1313.

Location: 3410 Worth St Ste 400, Dallas, TX, 75391-1230

NPI Number

1255659173

Provider Name

Laura Michelle Divine

Credential

Provider Entity Type

Individual

Gender

Female

Address

3410 Worth St Ste 400, Dallas, TX, 75391-1230

Phone Number

214-370-1300

Fax Number

214-370-1313

Provider Enumeration Date

05/17/2010

Last Update Date

03/09/2024

Identifier	Type	State	Issuer
372957602	05	TX

Address

3410 Worth St Ste 400

City

Dallas

State

Texas

Zip

75246-2092

Phone Number

214-370-1300

Fax Number

214-370-1313

Address

3410 Worth St Ste 400

City

Dallas

State

Texas

Zip

75246-2092

Phone Number

214-370-1300

Fax Number

214-370-1313

Type

Allopathic & Osteopathic Physicians

Classification

Obstetrics & Gynecology

Speciality

Gynecologic Oncology

Taxonomy

207VX0201X

License No.

()

Definition

An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

R3314 (Texas)

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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