Organization
MAVERICK MEDICAL, INC.
Active
Other names
Medical Dynamics Enterprises, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY MAY REAL (OWNER)
(707) 200-2544
Entity
Organization
Contact information
Practice address
276 KINGSBURY GRADE STE 210, STATELINE, NV 89449-9804
(707) 200-2539
(707) 573-0484
Mailing address
PO BOX 1036, ZEPHYR COVE, NV 89448-1036
(707) 200-2539
(707) 573-0484
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
CA
Other
Enumeration date
02/16/2011
Last updated
09/06/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up