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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