Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
DIVINE MEDICAL SUPPLY AND EQUIPMENTS LLC
Active
Organization
DIVINE MEDICAL SUPPLY AND EQUIPMENTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EBENEZER UDEH (MANAGING DIRECTOR)
(903) 819-4024
Entity
Organization
Contact information
Practice address
9550 FOREST LN STE 336, DALLAS, TX 75243-5905
(214) 210-5595
(214) 258-5738
Mailing address
9550 FOREST LN STE 336, DALLAS, TX 75243-5905
(214) 210-5595
(214) 258-5738
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
09/07/2023
Last updated
01/30/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers