DIVTER G INC – NPI #1588116990
Clinic/Center

DIVTER G INC is an AHC clinic located in PEARLAND, TX. NPPES has assigned the NPI number 1588116990 to DIVTER G INC on November 02, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

The NPI profile was previously updated about 3 years ago on Feb 14, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DIVTER G INC below.

NPI Profile for
DIVTER G INC

NPI Number
1588116990
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DIVTER G INC
Primary location
11901 SHADOW CREEK PKWY STE 111
PEARLAND, TX 77584-7346
Phone: (281) 760-1971 Fax: (888) 257-3780
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DANIEL OBI-OFODILE
OWNER
Phone: (229) 347-4693
Updated
Certification Date
Feb 14, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QU0200X
- Clinic/Center / Urgent Care (Primary)		 TX P7524
332BN1400X
- Durable Medical Equipment & Medical Supplies / Nursing Facility Supplies
332B00000X
- Durable Medical Equipment & Medical Supplies

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.