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Divine Surgical Service Llc.
Surgical Physician Assistant in Missouri City, Texas
NPI 1407258528

Divine Surgical Service Llc. is a Surgical Physician Assistant based in Missouri City, TX and is specialized in Surgical. Divine Surgical Service Llc. practices in Missouri City, TX. The NPI Number for Divine Surgical Service Llc. is 1407258528 and holds a License No. SA00461 (Texas).

The current practice location address for Divine Surgical Service Llc. is 6140 Highway 6 Ste 282, Missouri City, TX and can be reached out via phone at 281-414-7495.

Location: 6140 Highway 6 Ste 282, Missouri City, TX, 77459-3802
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407258528
Provider Name
Divine Surgical Service Llc.
Credential
Provider Entity Type
Organization
Address
6140 Highway 6 Ste 282, Missouri City, TX, 77459-3802
Phone Number
281-414-7495
Fax Number
Provider Enumeration Date
09/19/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6140 Highway 6 Ste 282
City
Missouri City
State
Texas
Zip
77459-3802
Phone Number
281-414-7495
Fax Number
person
Provider Business Mailing Address Details
Address
6140 Highway 6 Ste 282
City
Missouri City
State
Texas
Zip
77459-3802
Phone Number
281-414-7495
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
SA00461 (Texas)
Definition
Definition to come...
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