Franck Ivan Mougwa Dimo

Primary specialty

Secured Medical Transport (VAN)Taxonomy code 343800000X

License

41166863 Issued in TX

Practice address

4429 Eveslage LN
Conroe, TX 77304-2464

Phone

(936) 283-1628

NPI assigned

May 16, 2025

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• K&K Medigo LLC

  • Secured Medical Transport (VAN)
  • Conroe, TX
  • NPI 1427841071
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1747353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1295526325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4429 EVESLAGE LN",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042464",
            "telephone_number": "936-444-7279",
            "fax_number": "936-444-7279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4429 EVESLAGE LN",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042464",
            "telephone_number": "936-283-1628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUGWA DIMO",
        "first_name": "FRANCK IVAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-16",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "TX",
            "license": "41166863",
            "primary": false
        },
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": "TX",
            "license": "41166863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rita F. Mosha
• Mosher Initiatives Inc.
• Augustine Mosindi, BSC, MA, MHP, BHCM 3
• Jessica Mott, RN
• Teresa Mokeira Motua, AGACNP-BC
• Victoria Francis Mousa
• Dominica Moussoki, MS
• Mpact Healthcare
• Swathi Muddasani, MD
• Lise Mary Mueller-Goodrum, BSN, RN

• Secured Medical Transport (VAN) in Conroe, TX
• Providers in Conroe, TX by specialty
• Secured Medical Transport (VAN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.