Organization
MAVERON HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC INGRAM (PARTNER)
(650) 308-8929
Entity
Organization
Contact information
Practice address
6577 HENNEMAN WAY, MCKINNEY, TX 75070-3169
(650) 308-8929
(214) 481-5096
Mailing address
5760 LEGACY DR, SUITE B3-317, PLANO, TX 75024-7102
(650) 308-8929
(214) 481-5096
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
079883974
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1001542
DME
TX
Enumeration date
07/29/2015
Last updated
06/02/2016
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