Provider Demographics
NPI:1861273559
Name:CLYDESDALE STAMPEDE TRANSPORTATION LLC
Entity type:Organization
Organization Name:CLYDESDALE STAMPEDE TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARCUS
Authorized Official - Middle Name:L
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-973-3124
Mailing Address - Street 1:16120 STUEBNER AIRLINE RD APT 604
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-7323
Mailing Address - Country:US
Mailing Address - Phone:352-973-3124
Mailing Address - Fax:
Practice Address - Street 1:16120 STUEBNER AIRLINE RD APT 604
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-7323
Practice Address - Country:US
Practice Address - Phone:352-973-3124
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-10
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company