Maveron Health, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

079883974 Issued in TX

Legal business name

MAVERON HEALTH, LLC

Practice address

6577 Henneman Way
McKinney, TX 75070-3169

Phone

(650) 308-8929

Fax

(214) 481-5096

NPI assigned

Jul 29, 2015

Organization subpart

No

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

Authorized official

Name

Marc Ingram

Title

Partner

Phone

(650) 308-8929

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464825600000",
    "number": "1972988129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5760 LEGACY DR",
            "address_2": "SUITE B3-317",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750247102",
            "telephone_number": "650-308-8929",
            "fax_number": "214-481-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6577 HENNEMAN WAY",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750703169",
            "telephone_number": "650-308-8929",
            "fax_number": "214-481-5096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAVERON HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-29",
        "last_updated": "2016-06-02",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "650-308-8929"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "079883974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "1001542",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in McKinney, TX
• Providers in McKinney, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; 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.