Healthcare Provider Details
I. General information
NPI: 1235044520
Provider Name (Legal Business Name): CULTURE DIVINE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3334 N TOWN EAST BLVD STE 203
MESQUITE TX
75150-3800
US
IV. Provider business mailing address
3504 CRANSTON DR
MESQUITE TX
75150-4229
US
V. Phone/Fax
- Phone: 214-395-6306
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
FELICIA
RISPER
Title or Position: OWNER/MANAGING MEMBER
Credential:
Phone: 214-395-6306