Provider Demographics
NPI:1508648783
Name:DIPSON LLC
Entity Type:Organization
Organization Name:DIPSON LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:OLADIPO
Authorized Official - Last Name:ONAJOBI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-665-9044
Mailing Address - Street 1:8145 HIGHWAY 6 S STE 112
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-5739
Mailing Address - Country:US
Mailing Address - Phone:281-665-9044
Mailing Address - Fax:
Practice Address - Street 1:8145 HIGHWAY 6 S STE 1128145
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-5763
Practice Address - Country:US
Practice Address - Phone:281-665-9044
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-20
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)