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Rebecca Jane Divack
Pediatric Nurse Practitioner in Spring, Texas
NPI 1275025231

Rebecca Jane Divack is a Pediatric Nurse Practitioner based in Spring, TX and is specialized in Pediatrics. Rebecca Jane Divack practices in Spring, TX. The NPI Number for Rebecca Jane Divack is 1275025231 and holds a License No. 1110084 (Texas).

The current practice location address for Rebecca Jane Divack is 18607 Kuykendahl Rd, Spring, TX and can be reached out via phone at 281-370-1122 and via fax at 281-370-1139.

Location: 18607 Kuykendahl Rd, Spring, TX, 77379-3453
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275025231
Provider Name
Rebecca Jane Divack
Credential
Provider Entity Type
Individual
Gender
Female
Address
18607 Kuykendahl Rd, Spring, TX, 77379-3453
Phone Number
281-370-1122
Fax Number
281-370-1139
Provider Enumeration Date
06/05/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
18607 Kuykendahl Rd
City
Spring
State
Texas
Zip
77379-3453
Phone Number
281-370-1122
Fax Number
281-370-1139
person
Provider Business Mailing Address Details
Address
18607 Kuykendahl Rd
City
Spring
State
Texas
Zip
77379-3453
Phone Number
281-370-1122
Fax Number
281-370-1139
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
1110084 (Texas)
Definition
Definition to come...
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