DIVINETOUCH MEDICAL CENTER LLC NPI 1346998713

NPI Information

NPI: 1346998713
Provider Name: DIVINETOUCH MEDICAL CENTER LLC

Former Legal Business Name: DIVINETOUCH MEDICAL CENTER

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
304 N MITCHELL RD
MANSFIELD, TX
ZIP 76063
Phone: (682) 422-9950
Get Directions

DIVINETOUCH MEDICAL CENTER LLC is a primary care clinic center in Mansfield, TX. DIVINETOUCH MEDICAL CENTER LLC NPI is 1346998713. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Divinetouch Medical Center.

The provider's business location address is:

304 N MITCHELL RD
MANSFIELD, TX
ZIP 76063-449
Phone: (682) 422-9950

The provider's authorized official is Tomi Ola-peters .
The authorized official title is Director and has the following contact phone number (682) 283-7381.

The CLIA number assigned to this NPI record is 45D2280650 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/15/2022 and was last updated on 12/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine				No
2	261QP2300X	Clinic/Center	Primary Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »