NPI | 1861727240 |
---|---|
Doing Business As | MAVERICK MEDICAL SUPPLY |
Entity Type | Organization |
Authorized Contact | MARIO ALBERTO DIAZ Managing Member 830-968-7740 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 1000197) |
Enumeration Date | 2009-10-02 |
Last Update Date | 2021-01-28 |