1. Home
  2. Directory
  3. Texas
  4. Missouri City
  5. Physician Assistant
  6. NPI Profile

DIVINE SURGICAL SERVICE LLC.
NPI 1407258528
Physician Assistant - Surgical in Missouri City, TX

Active since September 19, 2014
6140 HIGHWAY 6 STE 282, MISSOURI CITY, TX 77459(281) 414-7495 Get Directions Write a Review

NPPES record last updated: September 19, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Divine Surgical Service Llc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIVINE SURGICAL SERVICE LLC. (NPI 1407258528) is a healthcare organization registered as a surgical in Missouri City, Texas and active in the NPI registry since September 2014. The organization lists Monique Bowen, Ceo, as its authorized official.

NPPES Registry Identity

NPI1407258528
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameDIVINE SURGICAL SERVICE LLC.
Location Address6140 HIGHWAY 6 STE 282Missouri City, TX 77459-3802
Mailing Address6140 Highway 6 Ste 282Missouri City, TX 77459-3802
Phone(281) 414-7495
Organization SubpartNo
Authorized OfficialMonique BowenCeo · (281) 414-7495
Enumeration DateSeptember 19, 2014
✔ NPI 1407258528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in TX · SA00461
6140 HIGHWAY 6 STE 282, Missouri City, TX 77459
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Divine Surgical Service LLC.'s NPI number?

The NPI number for Divine Surgical Service LLC. is 1407258528. It was assigned to this organization in the NPPES registry on September 19, 2014.

Where is Divine Surgical Service LLC. located?

Divine Surgical Service LLC. is located at 6140 Highway 6 Ste 282, Missouri City, TX 77459. The listed phone number is (281) 414-7495.

What is Divine Surgical Service LLC.'s specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Divine Surgical Service LLC. was last updated on September 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.