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Organization
DIVTER G INC
Active
Organization
DIVTER G INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL OBI-OFODILE MD (OWNER)
(229) 347-4693
Entity
Organization
Contact information
Practice address
11901 SHADOW CREEK PKWY STE 111, PEARLAND, TX 77584-7346
(281) 760-1971
(888) 257-3780
Mailing address
11901 SHADOW CREEK PKWY STE 111, PEARLAND, TX 77584-7346
(281) 760-1971
(888) 257-3780
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
P7524
TX
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
Other
Enumeration date
11/02/2016
Last updated
02/14/2023
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