Organization
MAVON OVERSIGHT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTIN HEBER TAUFERNER DO (MANAGER)
(254) 931-6955
Entity
Organization
Contact information
Practice address
340 VAN BIBBER, SALADO, TX 76571
(254) 931-6955
Mailing address
PO BOX 1307, SALADO, TX 76571
(254) 931-6955
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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