C DIVINE LLC

HOUSTON, TX
NPI1952950289
Entity TypeOrganization
Authorized ContactEMILIANA EZECHIGBO
Chief Executive Officer
832-212-4739
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
Additional Taxonomies207Q00000X Family Medicine
Enumeration Date2019-09-09
Last Update Date2024-02-06
Business Address
C DIVINE LLC
14406 PARKESGATE DR
HOUSTON, TX 77083-5789
Phone number: 832-212-4739
Mailing Address
C DIVINE LLC
14406 PARKESGATE DR
HOUSTON, TX 77083-5789
Phone number: