Franck Ivan Mougwa Dimo
Secured Medical Transport (VAN) in Conroe, TX. Individual provider (NPI-1).
NPI number1295526325
StatusActive
Last updated in NPPESMay 27, 2025
Details
- NPI
- 1295526325
- Entity type
- Individual (NPI-1)
- Name
- Franck Ivan Mougwa Dimo
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 16, 2025
- Certification date
- May 27, 2025
- Last updated
- May 27, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 343800000X | Secured Medical Transport (VAN) | 41166863 | TX | Yes |
| 343900000X | Non-emergency Medical Transport (VAN) | 41166863 | TX |
Practice location
4429 Eveslage LnConroe, TX 77304-2464
Phone 936-283-1628
Mailing address
4429 Eveslage LnConroe, TX 77304-2464
Phone 936-444-7279 · Fax 936-444-7279
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All 13 Secured Medical Transport (VAN) providers in Conroe · All 3,408 providers in Conroe
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