Individual
MS. DIVYA DINES GOPAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13601 WOODFOREST BLVD, HOUSTON, TX 77015-2908
(713) 330-4325
Mailing address
13601 WOODFOREST BLVD, HOUSTON, TX 77015-2908
(713) 330-4325
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085.008847
IL
363A00000X
Physician Assistant
10865
GA
363A00000X
Physician Assistant
Primary
PA15619
TX
Other
Enumeration date
03/29/2022
Last updated
08/15/2022
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