Individual
FRANCK IVAN MOUGWA DIMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4429 EVESLAGE LN, CONROE, TX 77304-2464
(936) 283-1628
Mailing address
4429 EVESLAGE LN, CONROE, TX 77304-2464
(936) 444-7279
(936) 444-7279
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
41166863
TX
343900000X
Non-emergency Medical Transport (VAN)
41166863
TX
Other
Enumeration date
05/16/2025
Last updated
05/27/2025
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