Organization
MAVIDALA SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AZRA MAJEED (CEO)
(830) 476-2811
Entity
Organization
Contact information
Practice address
701 TILLERY ST STE 12, AUSTIN, TX 78702-3751
(830) 476-2811
Mailing address
701 TILLERY ST STE 12, AUSTIN, TX 78702-3751
(830) 476-2811
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/30/2022
Last updated
11/12/2023
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