Organization
MAVSTAR MEDICAL TRANSPORTATION, INC.
Active
Other names
Maverick Medical Transportation Company
Organization subpart
No
Provider details
NPI number
Authorized official
SOON BURNAM (TREASURER)
(949) 540-1249
Entity
Organization
Contact information
Practice address
1612 S BROADWAY, BUILDING 2, STE. 200, CARROLTON, TX 75006
(469) 892-0024
Mailing address
1612 S. BROADWAY, BLDG. 2, SUITE 200, CARROLTON, TX 75006
(469) 892-0024
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
10/18/2023
Last updated
11/08/2023
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