Provider Demographics
NPI:1962396630
Name:MVPENNY LLC
Entity type:Organization
Organization Name:MVPENNY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:A
Authorized Official - Last Name:HUBER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, MED, MTI, LMT
Authorized Official - Phone:832-524-7322
Mailing Address - Street 1:1186 SPLIT RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:SPRING BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:78070-5042
Mailing Address - Country:US
Mailing Address - Phone:832-524-7322
Mailing Address - Fax:
Practice Address - Street 1:286 SINGING OAKS STE 101
Practice Address - Street 2:
Practice Address - City:SPRING BRANCH
Practice Address - State:TX
Practice Address - Zip Code:78070-6518
Practice Address - Country:US
Practice Address - Phone:832-524-7322
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-05
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty