Organization · Type 2 NPI
Divine Surgical Service Llc.
Surgical Physician Assistant · Missouri City, TX
NPI number
1407258528
Active
Practice location
6140 Highway 6 Ste 282
Missouri City, TX 77459-3802
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | SA00461 (TX) |
Surgical Physician Assistant: Definition to come...
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About NPI 1407258528
Divine Surgical Service Llc.'s National Provider Identifier is 1407258528, issued on Sep 19, 2014. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Missouri City, TX. The record was last updated on Sep 19, 2014.