Provider Demographics
NPI:1891500732
Name:ENIGMA'S STORM TRANSPORT AND TRANSPORTATION
Entity type:Organization
Organization Name:ENIGMA'S STORM TRANSPORT AND TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF ORGANIZATIONAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:TROY
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:MAYFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-203-6777
Mailing Address - Street 1:18011 TRELLIS ESTATES CT
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-4610
Mailing Address - Country:US
Mailing Address - Phone:713-203-6777
Mailing Address - Fax:
Practice Address - Street 1:18011 TRELLIS ESTATES CT
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-4610
Practice Address - Country:US
Practice Address - Phone:713-203-6777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ENIGMA'S STORM LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)