Provider Demographics
NPI:1174090773
Name:DINANA,LLC
Entity type:Organization
Organization Name:DINANA,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:FABRICE
Authorized Official - Middle Name:ARMEL
Authorized Official - Last Name:NDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-331-0306
Mailing Address - Street 1:16903 RED OAK DR STE 130P
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-3965
Mailing Address - Country:US
Mailing Address - Phone:346-331-0306
Mailing Address - Fax:
Practice Address - Street 1:16903 RED OAK DR STE 130P
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-3965
Practice Address - Country:US
Practice Address - Phone:346-331-0306
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-01
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========Medicaid