Individual
DIVINA DAGATAN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5440 OLD BROWNSVILLE RD, CORPUS CHRISTI, TX 78417-9765
(361) 452-1151
Mailing address
5440 OLD BROWNSVILLE RD, CORPUS CHRISTI, TX 78417-9765
(361) 452-1151
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1074506
TX
Other
Enumeration date
04/07/2022
Last updated
05/04/2022
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