| The Grace Of The Divine Healing & Wellness Center | |
|
4009 19th St Suite E Lubbock TX 79410-1003 | |
| (806) 778-0764 | |
| Not Available |
| Full Name | The Grace Of The Divine Healing & Wellness Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 4009 19th St, Lubbock, Texas |
| Authorized Official Name and Position | Rita Corona (PHYSICIAN) |
| Authorized Official Contact | 8067780764 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Grace Of The Divine Healing & Wellness Center 4009 19th St Suite E Lubbock TX 79410-1003 Ph: (806) 778-0764 | The Grace Of The Divine Healing & Wellness Center 4009 19th St Suite E Lubbock TX 79410-1003 Ph: (806) 778-0764 |
| NPI Number | 1093151185 |
|---|---|
| Provider Enumeration Date | 05/15/2013 |
| Last Update Date | 05/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093151185 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | P1536 (Texas) | Primary |
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