# MAVERON HEALTH, LLC

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

## Provider details

- **NPI number:** 1972988129
- **Authorized official:** MARC INGRAM (PARTNER)
- **Authorized official phone:** (650) 308-8929

## Contact information

- **Practice address:** 6577 HENNEMAN WAY, MCKINNEY, TX 75070-3169
- **Practice address phone:** (650) 308-8929
- **Practice address fax:** (214) 481-5096
- **Mailing address:** 5760 LEGACY DR, SUITE B3-317, PLANO, TX 75024-7102
- **Mailing address phone:** (650) 308-8929
- **Mailing address fax:** (214) 481-5096

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 079883974 | TX | Yes |

## Other

- **Enumeration date:** 07/29/2015
- **Last updated:** 06/02/2016