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
Fax: (281) 370-1139
Website:

Health care specialties

SpecialtyCodeLicense #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 2 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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