| Divinetouch Medical Center Llc | |
|
304 N Mitchell Rd Mansfield TX 76063-3449 | |
| (682) 422-9950 | |
| Not Available |
| Full Name | Divinetouch Medical Center Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 304 N Mitchell Rd, Mansfield, Texas |
| Authorized Official Name and Position | Tomi Ola-peters (DIRECTOR) |
| Authorized Official Contact | 9039327336 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Divinetouch Medical Center Llc 304 N Mitchell Rd Mansfield TX 76063-3449 Ph: (682) 422-9950 | Divinetouch Medical Center Llc 304 N Mitchell Rd Mansfield TX 76063-3449 Ph: (682) 422-9950 |
| NPI Number | 1346998713 |
|---|---|
| Provider Enumeration Date | 03/15/2022 |
| Last Update Date | 04/30/2024 |
| Medicare PECOS PAC ID | 8628465333 |
|---|---|
| Medicare Enrollment ID | O20220428000071 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346998713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Tomi O Ola-peters |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760737142 PECOS PAC ID: 7517283609 Enrollment ID: I20150309001138 |
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