Independent site. Not affiliated with, endorsed by, or connected to DoD, DHA, or the official TRICARE program. Visit the official TRICARE site.

HomeProvidersREBECCA DIVACK

Nurse Practitioner, Pediatrics

REBECCA DIVACK

Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.

Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.

Public record

NPI 1275025231 · enumerated 2018-06-05 · record updated 2025-12-05. Source: CMS NPPES. A listing is not a TRICARE network approval.

NPPES record Google Maps Apple Maps OpenStreetMap

Addresses and phones

Mailing address 1430 W GRAND PKWY S, KATY, TX, 77494-8204 (832) 844-1470 Fax (832) 965-9490 Google Maps Apple Maps OpenStreetMap
Practice location 1430 W GRAND PKWY S, KATY, TX, 77494-8204 (832) 844-1470 Google Maps Apple Maps OpenStreetMap

Specialties

Nurse Practitioner, Pediatrics 363LP0200X · Primary · License 1110084 TX

In this directory

TX Fort Bend County Katy Nurse Practitioner, Pediatrics

Locations and evidence

Practice location KATY, TX, 774948204
Accepting new patientsNot reportedCMS NPPES · September 30, 2026

Plan acceptance

No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.