# DIVTER G INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588116990
- **Authorized official:** DANIEL OBI-OFODILE MD (OWNER)
- **Authorized official phone:** (229) 347-4693

## Contact information

- **Practice address:** 11901 SHADOW CREEK PKWY STE 111, PEARLAND, TX 77584-7346
- **Practice address phone:** (281) 760-1971
- **Practice address fax:** (888) 257-3780
- **Mailing address:** 11901 SHADOW CREEK PKWY STE 111, PEARLAND, TX 77584-7346
- **Mailing address phone:** (281) 760-1971
- **Mailing address fax:** (888) 257-3780

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | P7524 | TX | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 332BN1400X | Nursing Facility Supplies (DME) | — | NULL | — |

## Other

- **Enumeration date:** 11/02/2016
- **Last updated:** 02/14/2023