Provider Demographics
NPI:1447595749
Name:MNK HOLDINGS INC
Entity type:Organization
Organization Name:MNK HOLDINGS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:IJALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-767-4497
Mailing Address - Street 1:9896 BISSONNET ST
Mailing Address - Street 2:124
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-8104
Mailing Address - Country:US
Mailing Address - Phone:832-767-4497
Mailing Address - Fax:832-767-4531
Practice Address - Street 1:9896 BISSONNET ST
Practice Address - Street 2:124
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8104
Practice Address - Country:US
Practice Address - Phone:832-767-4497
Practice Address - Fax:832-767-4531
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-28
Last Update Date:2012-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10008463416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport