DIVINE INJURY CLINIC & REHAB, P.C. is a point of service in Mesquite, TX. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. DIVINE INJURY CLINIC & REHAB, P.C. NPI is 1710197785. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
3220 GUS THOMASSON RD
SUITE 233
MESQUITE, TX
ZIP 75150-057
Phone: (972) 279-0644
Fax: (972) 279-0655
The provider's authorized official is Ogechi Guinness-ohazuruike .
The authorized official title is Doctor Of Chiropractic and has the following contact phone number (972) 279-0644.
The CLIA number assigned to this NPI record is 45D2253901 - practitioner other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/22/2007 and was last updated on 11/4/2009.