=====================================================
General NPI Number Information
=====================================================
NPI Number | 1356205306
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MISTY&MORGAN TRANSPORTATION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/15/2025
-----------------------------------------------------
Last Update Date | 12/15/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4607CYPRESSWOOD DR 1103
-----------------------------------------------------
City | SPRING
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77379
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 346-232-2417
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4607 CYPRESSWOOD DR APT 1103
-----------------------------------------------------
City | SPRING
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77379-8358
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 346-232-2417
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DRIVER
-----------------------------------------------------
Name | JESSICA NICOLE RHODES
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 346-232-2417
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 342000000X
-----------------------------------------------------
Taxonomy Name | Transportation Network Company
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------