Provider Demographics
NPI:1396499620
Name:DUIKER SOLUTIONS LLC
Entity type:Organization
Organization Name:DUIKER SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CLEMENCIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MABUYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-215-1140
Mailing Address - Street 1:7421 FRANKFORD RD APT 2226
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75252-8199
Mailing Address - Country:US
Mailing Address - Phone:469-215-1140
Mailing Address - Fax:
Practice Address - Street 1:17330 PRESTON RD STE 200D
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75252-6106
Practice Address - Country:US
Practice Address - Phone:214-519-1242
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-06
Last Update Date:2022-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)