Provider Demographics
NPI:1053711887
Name:TRANSAFRICAN DEVELOPMENT, INC.
Entity type:Organization
Organization Name:TRANSAFRICAN DEVELOPMENT, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:ELOKAN
Authorized Official - Last Name:NDANDO-NGOO
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:713-292-8739
Mailing Address - Street 1:PO BOX 1015
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70602-1015
Mailing Address - Country:US
Mailing Address - Phone:713-292-8739
Mailing Address - Fax:
Practice Address - Street 1:308 PALMER ST
Practice Address - Street 2:
Practice Address - City:WELSH
Practice Address - State:LA
Practice Address - Zip Code:70591-4320
Practice Address - Country:US
Practice Address - Phone:713-292-8739
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-28
Last Update Date:2014-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA261QD0000X, 261QM0850X, 261QP2300X, 261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
No261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care