Organization
DIVINE FOOTCARE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CELESTINA N DURU D.P.M (PODIATRIST PRESIDENT)
(972) 790-2800
Entity
Organization
Contact information
Practice address
2000 ESTERS RD STE 104, SUITE 104, IRVING, TX 75061-9580
(972) 790-2800
(972) 790-2803
Mailing address
2000 ESTERS RD STE 104, SUITE 104, IRVING, TX 75061-9580
(972) 790-2800
(972) 790-2803
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1903
TX
Other
Enumeration date
10/01/2009
Last updated
01/07/2013
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