Individual provider · Type 1 NPI

Laura Michelle Divine, MD

Gynecologic Oncology Physician · Dallas, TX

NPI number 1255659173 Active

Practice location

3410 Worth St Ste 400
Dallas, TX 75246-2092

Call (214) 370-1300 Map

Fax (214) 370-1313

Mailing address

PO Box 911230
Dallas, TX 75391-1230

Other practice locations

  • 619 19th St S, Birmingham, AL 35249-1900 · (205) 934-5631

Specialties and licenses

TaxonomyCodeLicense
Gynecologic Oncology Physician Primary 207VX0201XR3314 (TX)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Gynecologic Oncology Physician: 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.

24 other providers at this address

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About NPI 1255659173

Laura Michelle Divine, MD's National Provider Identifier is 1255659173, issued on May 17, 2010. The primary taxonomy on file is Gynecologic Oncology Physician (207VX0201X), and the practice location is in Dallas, TX. The record was last updated on Mar 17, 2018.