The Grace of the Divine Healing & Wellness Center

NPI #1093151185 in Lubbock, Texas

Provider Information

NPI Number: 1093151185
Entity Type: Organization
Organization Name: The Grace of the Divine Healing & Wellness Center
Primary Specialty: Internal Medicine
Enumeration Date: May 15, 2013
Last Updated: May 15, 2013

Practice Location

Address: 4009 19TH ST
Address 2: SUITE E
City: Lubbock
State: Texas
ZIP Code: 79410-1003
Phone: (806) 778-0764

Authorized Official

Name: DR. RITA CORONA, M.D.
Title: PHYSICIAN
Phone: (806) 778-0764

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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