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

Divine Surgical Service LLC

Organization Surgical Physician Assistant · NPI 1407258528

Divine Surgical Service LLC provides Surgical Physician Assistant services 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 Not confirmed with CMS for 12 years — call before visiting
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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