| Divine Signature Inc | |
|
5401 Tara Oaks Court Rosharon TX 77583-2529 | |
| (832) 614-9436 | |
| (713) 583-7686 |
| Full Name | Divine Signature Inc |
|---|---|
| Speciality | Registered Nurse |
| Location | 5401 Tara Oaks Court, Rosharon, Texas |
| Authorized Official Name and Position | Rosilyn Abinor Gborogen (CEO/ PROGRAM MANAGER) |
| Authorized Official Contact | 8326149436 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Signature Inc 5401 Tara Oaks Court Rosharon TX 77583-2529 Ph: (832) 614-9436 | Divine Signature Inc 5401 Tara Oaks Court Rosharon TX 77583-2529 Ph: (832) 614-9436 |
| NPI Number | 1801247572 |
|---|---|
| Provider Enumeration Date | 06/23/2016 |
| Last Update Date | 09/16/2020 |
| Certification Date | 09/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801247572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 163W00000X | Registered Nurse | (* (Not Available)) | Primary |
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