Organization
DIVINE GLOW HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCES EBO NP, DNP (PRESIDENT)
(832) 428-8393
Entity
Organization
Contact information
Practice address
14090 SOUTHWEST FWY STE 300, SUGAR LAND, TX 77478-3679
(800) 645-0865
(800) 645-0866
Mailing address
14090 SOUTHWEST FWY STE 300, SUGAR LAND, TX 77478-3679
(800) 645-0865
(800) 645-0866
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
363L00000X
Nurse Practitioner
—
—
363LC1500X
Community Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
363LW0102X
Women's Health Nurse Practitioner
—
—
Other
Enumeration date
12/13/2024
Last updated
12/13/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us