Provider Demographics
NPI:1558676486
Name:DNA HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:DNA HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:KOPOI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-334-6336
Mailing Address - Street 1:9611 WALNUT ST
Mailing Address - Street 2:SUITE 1306
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-4806
Mailing Address - Country:US
Mailing Address - Phone:214-570-9329
Mailing Address - Fax:214-501-0724
Practice Address - Street 1:9611 WALNUT ST
Practice Address - Street 2:SUITE 1306
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-2348
Practice Address - Country:US
Practice Address - Phone:214-570-9329
Practice Address - Fax:214-501-0724
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-16
Last Update Date:2011-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX013938251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health