Divack, Rebecca Jane
Divack, Rebecca Jane is an sole proprietor health care provider with primary practice located at 18607 Kuykendahl Rd , Spring TX 77379-3453. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Divack, Rebecca Jane can be contacted via phone (281) 370-1122.Contact Information
Primary practice address
18607 Kuykendahl Rd
Spring TX 77379-3453
Phone: (281) 370-1122
Fax: (281) 370-1139
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 1110084 | Texas |
Profile Details
| NPI number | 1275025231 |
|---|---|
| LBN Legal business name | Divack, Rebecca Jane |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 5th, 2018 |
| Last updated | Feb 6th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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