Maverick Medical Supply LLC

NPI #1861727240 in Eagle Pass, Texas

Provider Information

NPI Number
1861727240
Entity Type
Organization
Organization Name
Maverick Medical Supply LLC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Oct 2, 2009
Last Updated
Jan 28, 2021

Practice Location

Address
2483 2ND ST
Address 2
STE. F
State
Texas
ZIP Code
78852-4390
Phone
(830) 757-9000

Authorized Official

Name
MARIO ALBERTO DIAZ
Title
MANAGING MEMBER
Phone
(830) 968-7740

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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