Provider Demographics
NPI:1255527354
Name:MANE ENTERPRISES, LLC
Entity type:Organization
Organization Name:MANE ENTERPRISES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF EMS
Authorized Official - Prefix:
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:H
Authorized Official - Last Name:EYE
Authorized Official - Suffix:
Authorized Official - Credentials:LIC-P
Authorized Official - Phone:281-330-9914
Mailing Address - Street 1:18514 HEADLAND DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-1192
Mailing Address - Country:US
Mailing Address - Phone:281-330-9914
Mailing Address - Fax:866-835-6560
Practice Address - Street 1:11929 W AIRPORT BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-2451
Practice Address - Country:US
Practice Address - Phone:281-840-9940
Practice Address - Fax:866-835-6560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-21
Last Update Date:2011-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10000623416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport