P Praxis·MD
● Active Type 2 · Organization

Divine Surgical Service Llc.

Physician Assistant·Missouri City, TX· NPI 1407258528 · Enumerated 2014 · 11 years on NPI
Divine Surgical Service Llc. is 1 of 1890 physician assistant organizations in Texas.
NPI age
11 years
Enumerated 2014-09-19
Primary specialty
Physician Assistant
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Bowen
Ceo
Last NPPES update
2014-09-19
Source: monthly bulk 2026-05

How this organization compares

Across 1890 active physician assistant providers in Texas.

NPI age
11 years
≈ at median (11 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2014 → 2026

2014-09Enumerated in NPPES
2014 2026

Where they practice

Primary practice location
6140 Highway 6 Ste 282
Missouri City, TX 774593802
📞 2814147495
Mailing address
6140 Highway 6 Ste 282
Missouri City, TX 774593802

Authorized official

Monique Bowen, LSA
Ceo
📞 2814147495

Specialties

  • Physician Assistant Primary
    Definition to come...
    TX license #SA00461 taxonomy 363AS0400X

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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