Provider Demographics
NPI:1952100182
Name:EKE, DIKE MICHAEL
Entity type:Individual
Prefix:
First Name:DIKE
Middle Name:MICHAEL
Last Name:EKE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2323 QUARRY ST
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75212-5532
Mailing Address - Country:US
Mailing Address - Phone:469-487-4637
Mailing Address - Fax:
Practice Address - Street 1:2323 QUARRY ST
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75212-5532
Practice Address - Country:US
Practice Address - Phone:469-487-4637
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle