REBECCA JANE DIVACK

KATY, TX
NPI1275025231
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: TX  1110084)
Enumeration Date2018-06-05
Last Update Date2025-12-05
Business Address
REBECCA JANE DIVACK
1430 W GRAND PKWY S
KATY, TX 77494-8204
Phone number: 832-844-1470
Mailing Address
REBECCA JANE DIVACK
1430 W GRAND PKWY S
KATY, TX 77494-8204
Phone number: 832-844-1470
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