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

DIVINE SURGICAL SERVICES LLC
NPI 1881350056
Physician Assistant - Surgical in Stafford, TX

Active since November 12, 2021
110 NINA LN, STAFFORD, TX 77477(800) 801-9297 Get Directions Write a Review

NPPES record last updated: January 25, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 25, 2022, Jan 6, 2022, Nov 12, 2021 (3 updates tracked since 2021).

About Divine Surgical Services Llc NPPES

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

DIVINE SURGICAL SERVICES LLC (NPI 1881350056) is a healthcare organization registered as a surgical in Stafford, Texas and active in the NPI registry since November 2021. The organization lists Zemorah Israel, Owner/ Ceo, as its authorized official.

NPPES Registry Identity

NPI1881350056
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameDIVINE SURGICAL SERVICES LLC
Location Address110 NINA LNStafford, TX 77477-4647
Mailing AddressPo Box 97Stafford, TX 77497-0097
Phone(800) 801-9297
Organization SubpartNo
Authorized OfficialZemorah IsraelOwner/ Ceo · (800) 801-9297
Enumeration DateNovember 12, 2021
Last NPPES UpdateJanuary 25, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2022
✔ NPI 1881350056 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
110 NINA LN, Stafford, TX 77477
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ZEMORAH ISRAEL LSA
Physician Assistant (Surgical)
110 NINA LN
STAFFORD, TX 77477
Fort Bend County (800) 801-9297
MB SURGICAL SERVICES
Physician Assistant (Surgical)
110 NINA LN
STAFFORD, TX 77477
Fort Bend County (281) 414-7495

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 Services LLC's NPI number?

The NPI number for Divine Surgical Services LLC is 1881350056. It was assigned to this organization in the NPPES registry on November 12, 2021.

Where is Divine Surgical Services LLC located?

Divine Surgical Services LLC is located at 110 Nina Ln, Stafford, TX 77477. The listed phone number is (800) 801-9297.

What is Divine Surgical Services 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 Services LLC was last updated on January 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.