Provider Demographics
NPI:1801984539
Name:DIVINE TOUCH HEALTHCARE SYSTEMS
Entity type:Organization
Organization Name:DIVINE TOUCH HEALTHCARE SYSTEMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHERIL
Authorized Official - Middle Name:C
Authorized Official - Last Name:NZEGWU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-530-8931
Mailing Address - Street 1:9010 KETCHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77099-1535
Mailing Address - Country:US
Mailing Address - Phone:281-530-8931
Mailing Address - Fax:
Practice Address - Street 1:9010 KETCHWOOD DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77099-1535
Practice Address - Country:US
Practice Address - Phone:281-530-8931
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX00W488103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Multi-Specialty