Audacious Enterprises LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

AUDACIOUS ENTERPRISES LLC

Practice address

2823 Skerne Forest Dr
Spring, TX 77373-2391

Phone

(832) 250-5137

NPI assigned

Dec 5, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Asia Renise Mayo

Title

Owner

Phone

(832) 250-5137

Specialties & licenses 2

Addresses

Other names 1

• Audacious Tresses Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1733356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1609682491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2823 SKERNE FOREST DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773732391",
            "telephone_number": "832-250-5137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2823 SKERNE FOREST DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773732391",
            "telephone_number": "832-250-5137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDACIOUS ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-05",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "MAYO",
        "authorized_official_first_name": "ASIA",
        "authorized_official_middle_name": "RENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-250-5137"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Audacious Tresses",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Spring, TX
• Providers in Spring, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.