Provider Demographics
NPI:1225397755
Name:DIRECTORS CAPITAL VENTURES, INC
Entity Type:Organization
Organization Name:DIRECTORS CAPITAL VENTURES, INC
Other - Org Name:DIG WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY TREASURER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:GROBAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:325-695-3412
Mailing Address - Street 1:6550 DIRECTORS PKWY
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79606-5854
Mailing Address - Country:US
Mailing Address - Phone:325-695-3412
Mailing Address - Fax:325-695-7840
Practice Address - Street 1:6550 DIRECTORS PKWY
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606-5854
Practice Address - Country:US
Practice Address - Phone:325-695-3412
Practice Address - Fax:325-695-7840
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DIRECTORS INVESTMENT GROUP, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-05-03
Last Update Date:2012-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX595980363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty