Organization
DIVINE EMS INC
Active
Organization
DIVINE EMS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN C ONWUEMELIE (OWNER)
(832) 396-2840
Entity
Organization
Contact information
Practice address
10039 BISSONNET ST, SUITE 312C, HOUSTON, TX 77036-7854
(832) 396-2840
Mailing address
10004 BISSONNET ST, SUITE 157, HOUSTON, TX 77036-7802
(832) 396-2840
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1000662
TX
Other
Enumeration date
08/03/2011
Last updated
08/03/2011
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