Organization · NPI-2

Divine Children INC.

Family Medicine · Mcallen, TX

NPI number1346096971

StatusActive

Last updated in NPPESMay 20, 2024

Details

NPI: 1346096971
Entity type: Organization (NPI-2)
Legal business name: Divine Children INC.
Organization subpart: No
Enumeration date: Apr 25, 2024
Certification date: May 20, 2024
Last updated: May 20, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	–	–	Yes
208000000X	Pediatrics	–	–
208M00000X	Hospitalist	–	–
261QR1300X	Clinic/Center, Rural Health	–	–

Practice location

712 Linberg Ave
Mcallen, TX 78501

Phone 956-622-4470

Mailing address

3127 S Sugar Rd Ste A
Edinburg, TX 78539-9726

Phone 956-662-4470 · Fax 956-259-8124

Authorized official

Subhash Bose
President And Chairman
9564678360

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