Maverick DX LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MAVERICK DX LLC

Practice address

16920 Kuykendahl Rd Ste 229
Houston, TX 77068-1636

Phone

(832) 305-7797

NPI assigned

Dec 27, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jimmy Washington

Title

Accounting

Phone

(832) 305-7797

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672099200000",
    "number": "1821701624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16920 KUYKENDAHL RD STE 229",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770681636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16920 KUYKENDAHL RD STE 229",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770681636",
            "telephone_number": "832-305-7797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAVERICK DX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-27",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "ACCOUNTING",
        "authorized_official_telephone_number": "832-305-7797"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Franck Mauvais-Jarvis, MD
• Margaret R Mauze, PHD
• Thomas Charlie Maveli, DDS, MS
• Mavenva Professionals
• Maverick DME
• Mavis Dao O.D. & Associates, PLLC
• Mavis Fujii Mdpa
• Mavis O Pharmacy LLC
• Hanna Mavric, DO
• Mavride LLC

• Clinical Medical Laboratory in Houston, TX
• Providers in Houston, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.