Healthcare Provider Details

I. General information

NPI: 1962396630
Provider Name (Legal Business Name): MVPENNY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2025
Last Update Date: 06/05/2025
Certification Date: 06/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

286 SINGING OAKS STE 101
SPRING BRANCH TX
78070-6518
US

IV. Provider business mailing address

1186 SPLIT RIDGE DR
SPRING BRANCH TX
78070-5042
US

V. Phone/Fax

Practice location:
  • Phone: 832-524-7322
  • Fax:
Mailing address:
  • Phone: 832-524-7322
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: HEATHER A HUBER
Title or Position: OWNER
Credential: MS, MED, MTI, LMT
Phone: 832-524-7322