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Organization
CONVERGE MEDICAL TECHNOLOGY, LLC
Active
Organization
CONVERGE MEDICAL TECHNOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC CORTEZ (CEO)
(773) 671-1189
Entity
Organization
Contact information
Practice address
14707 FITZHUGH RD # D-200, AUSTIN, TX 78736-6313
(800) 765-8643
Mailing address
14707 FITZHUGH RD # D-200, AUSTIN, TX 78736-6313
(800) 765-8643
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
NULL
171400000X
Health & Wellness Coach
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
09/10/2018
Last updated
10/24/2022
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