Healthcare Provider Details
I. General information
NPI: 1639091200
Provider Name (Legal Business Name): DRANYX LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
212 W TROY ST STE B
DOTHAN AL
36303-4455
US
IV. Provider business mailing address
212 W TROY ST STE B
DOTHAN AL
36303-4455
US
V. Phone/Fax
- Phone: 406-309-6462
- Fax:
- Phone: 406-309-6462
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ISRAEL
ROBLES
Title or Position: OWNER
Credential:
Phone: 406-309-6462