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Divine Surgical Services Llc
Surgical Physician Assistant in Stafford, Texas
NPI 1881350056

Divine Surgical Services Llc is a Surgical Physician Assistant based in Stafford, TX and is specialized in Surgical. Divine Surgical Services Llc practices in Stafford, TX. The NPI Number for Divine Surgical Services Llc is 1881350056 and holds a License No. (Texas).

The current practice location address for Divine Surgical Services Llc is 110 Nina Ln, Stafford, TX and can be reached out via phone at 800-801-9297.

Location: 110 Nina Ln, Stafford, TX, 77497-0097
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1881350056
Provider Name
Divine Surgical Services Llc
Credential
Provider Entity Type
Organization
Address
110 Nina Ln, Stafford, TX, 77497-0097
Phone Number
800-801-9297
Fax Number
Provider Enumeration Date
11/12/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
110 Nina Ln
City
Stafford
State
Texas
Zip
77477-4647
Phone Number
800-801-9297
Fax Number
person
Provider Business Mailing Address Details
Address
110 Nina Ln
City
Stafford
State
Texas
Zip
77477-4647
Phone Number
800-801-9297
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
()
Definition
Definition to come...
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