Organization
DIVINE INTEGRITY ALLIED HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMEKA POLK MSN, RN (ADMINISTRATOR)
(432) 889-2666
Entity
Organization
Contact information
Practice address
4738 BEDFORD AVE, MIDLAND, TX 79703-4535
(432) 889-2666
Mailing address
PO BOX 9732, MIDLAND, TX 79708-9732
(432) 889-2666
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
TX
Other
Enumeration date
05/03/2017
Last updated
05/03/2017
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