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NPI Code Detail

MEDICARE: DNA ACCESS SERVICES, LLC

MEDICARE: DNA ACCESS SERVICES, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
2251B00000XCase Management Agency

General Provider Information

NPI Number : 1588510465
Entity Type Code : Organization
Provider Name (Legal Business Name) : DNA ACCESS SERVICES, LLC
Provider Business Mailing Address
First Line : 5907 NESTLE AVE
Second Line :
City : RICHMOND
State : VA
Zip : 23224-4539
Country : US
Telephone Number : 571-494-7476
Fax Number :
Provider Business Practice Location Address
First Line : 8303 SOUTHWEST FWY STE 500B
Second Line :
City : HOUSTON
State : TX
Zip : 77074-1630
Country : US
Telephone Number : 713-581-4916
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MR. MILTON ANDREW FREDRICK II
Credential : FREDRICK
Telephone Number : 713-581-4916
Provider Enumeration Date : 03/04/2026
Last Update Date : 03/12/2026

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Directions to “DNA ACCESS SERVICES, LLC ” Practice Location

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