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

Divine Surgical Services LLC

Organization Surgical Physician Assistant · NPI 1881350056

Divine Surgical Services LLC is a Surgical Physician Assistant in Stafford, Texas. Registered with an NPI since 2021.

In the registry since
2021
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

110 Nina Ln
Stafford, TX 77477-4647
Phone: (800) 801-9297
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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

Record details

NPI number1881350056
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Zemorah Israel — Owner/ Ceo · (800) 801-9297
NPI enumeratedNovember 12, 2021
Last updated in NPPESJanuary 25, 2022
Certification dateJanuary 25, 2022
Mailing addressPo Box 97, Stafford, TX 77497-0097

Other providers in Stafford