# CONVERGE MEDICAL TECHNOLOGY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407339070
- **Authorized official:** MARC CORTEZ (CEO)
- **Authorized official phone:** (773) 671-1189

## Contact information

- **Practice address:** 14707 FITZHUGH RD \# D-200, AUSTIN, TX 78736-6313
- **Practice address phone:** (800) 765-8643
- **Mailing address:** 14707 FITZHUGH RD \# D-200, AUSTIN, TX 78736-6313
- **Mailing address phone:** (800) 765-8643

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171400000X | Health & Wellness Coach | — | NULL | — |
| 171400000X | Health & Wellness Coach | — | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 09/10/2018
- **Last updated:** 10/24/2022