SHILOH C DIVINE HEALTHCARE SERVICE NPI 1790169548

NPI Information

NPI: 1790169548
Provider Name: SHILOH C DIVINE HEALTHCARE SERVICE
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
14406 PARKESGATE DR
HOUSTON, TX
ZIP 77083
Phone: (832) 212-4739
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SHILOH C DIVINE HEALTHCARE SERVICE is a family nurse practitioner in Houston, TX. SHILOH C DIVINE HEALTHCARE SERVICE NPI is 1790169548. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14406 PARKESGATE DR
HOUSTON, TX
ZIP 77083-789
Phone: (832) 212-4739

The provider's authorized official is Emiliana Omawumi Ezechigbo .
The authorized official title is Np and has the following contact phone number (832) 212-4739.

The enumeration date for this NPI number is 7/11/2015 and was last updated on 7/11/2015.

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	363LF0000X	Nurse Practitioner	Family	AP128425	TEXAS	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

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