Provider Demographics
NPI:1114583663
Name:NDAYI, FELIX N
Entity type:Individual
Prefix:
First Name:FELIX
Middle Name:N
Last Name:NDAYI
Suffix:
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:NZARAMBA
Other - Middle Name:FELIX
Other - Last Name:NDAYI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:701 MESQUITE ST
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79601-5220
Mailing Address - Country:US
Mailing Address - Phone:325-829-3558
Mailing Address - Fax:254-442-0930
Practice Address - Street 1:701 MESQUITE ST
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79601-5220
Practice Address - Country:US
Practice Address - Phone:325-829-3558
Practice Address - Fax:254-442-0930
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-09
Last Update Date:2019-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX802414833343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX802414833OtherLANGUAGES AND TRANSPORTATION SERVICES