C DIVINE LLC NPI 1952950289

NPI Information

  • NPI: 1952950289
  • Provider Name: C DIVINE LLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 14406 PARKESGATE DR
    HOUSTON, TX
    ZIP 77083
  • Phone: (832) 212-4739

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NPI Details

C DIVINE LLC is a family nurse practitioner in Houston, TX. C DIVINE LLC NPI is 1952950289. The provider is registered as an organization entity type and is a multi-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 Ezechigbo .
The authorized official title is Chief Executive Officer and has the following contact phone number (832) 212-4739.

The enumeration date for this NPI number is 9/9/2019 and was last updated on 2/6/2024.

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
1207Q00000XFamily MedicineNo
2363LF0000XNurse PractitionerFamilyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1AP128425OTHERTEXASLICENSE

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: 3/30/2025

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