Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Divine Surgical Service LLC

Organization Surgical Physician Assistant · NPI 1407258528

Divine Surgical Service LLC is a Surgical Physician Assistant in Missouri City, Texas. Licensed in Texas. Registered with an NPI since 2014.

Licensed in
TX
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6140 Highway 6 Ste 282
Missouri City, TX 77459-3802
Phone: (281) 414-7495
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence SA00461 (TX)

Record details

NPI number1407258528
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Monique Bowen — Ceo · (281) 414-7495
NPI enumeratedSeptember 19, 2014
Last updated in NPPESSeptember 19, 2014
Mailing address6140 Highway 6 Ste 282, Missouri City, TX 77459-3802

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