Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEREMY THOMAS DIVER, PA-C
ActiveJEREMY THOMAS DIVER, PA-C is a Medical Physician Assistant healthcare provider located in HURST, Texas. NPI 1679913354 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · HURST, TX
Registration Details
- NPI Number
- 1679913354
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 26, 2013 (13.180645782155 yrs)
- Last Updated
- Nov 8, 2022
Practice Information
- Address
-
6316 PRECINCT LINE RDHURST, TX, 760542766Browse TX providers · Browse ZIP 76054
- Phone
- 8176052525
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in HURST, TX
| Name | Credential | NPI |
|---|---|---|
| SHRUTI DESAI | PA-C | 1912306093 |
| MRS. NABILA TABASSUM | PA-C | 1043917933 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.