| NPI | 1730589359 |
|---|---|
| Doing Business As | MAVERICK MEDICAL SUPPLY |
| Entity Type | Organization |
| Authorized Contact | MARIO ALBERTO DIAZ President 830-968-7740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2014-09-02 |