Organization · Type 2 NPI

Maverick Medical Supply LLC

Durable Medical Equipment & Medical Supplies · Eagle Pass, TX

NPI number 1861727240 Active

Practice location

2483 2nd St, Ste. F
Eagle Pass, TX 78852-4390

Fax (830) 757-9002

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies Primary	332B00000X	1000197 (TX)

Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

5 other providers at this address

Other durable medical equipment & medical supplies providers in Eagle Pass

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NPI record

NPI: 1861727240
Entity type: Organization (Type 2)
Issued: Oct 2, 2009
Last updated: Jan 28, 2021
Status: Active

Other names

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Maverick Medical Supply · doing business as
Maverick Medical Supply · doing business as

Authorized official

Mario Alberto Diaz
Managing Member
(830) 968-7740

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1861727240

Maverick Medical Supply LLC's National Provider Identifier is 1861727240, issued on Oct 2, 2009. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Eagle Pass, TX. The record was last updated on Jan 28, 2021.