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Organization
ANDREACO INVESTMENT INC.
Active
Organization
ANDREACO INVESTMENT INC.
Active
Other names
MAVERICK MEDICAL SUPPLY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARIO ALBERTO DIAZ (PRESIDENT)
(830) 968-7740
Entity
Organization
Contact information
Practice address
2210 N VETERANS BLVD, STE. 120, EAGLE PASS, TX 78852-6458
(830) 968-7740
(830) 757-9002
Mailing address
2210 N VETERANS BLVD, STE. 120, EAGLE PASS, TX 78852-6458
(830) 968-7740
(830) 757-9002
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
TX
Other
Enumeration date
09/02/2014
Last updated
09/02/2014
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