# BRACE A-CROSS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215387048
- **Authorized official:** PETE ROSE (MANAGER)
- **Authorized official phone:** (817) 875-7748

## Contact information

- **Practice address:** 2813 W SOUTHLAKE BLVD, SUITE 100, SOUTHLAKE, TX 76092-6829
- **Practice address phone:** (817) 310-8783
- **Mailing address:** 2813 W SOUTHLAKE BLVD, SUITE 100, SOUTHLAKE, TX 76092-6829
- **Mailing address phone:** (817) 310-8783

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 1001756 | TX | Yes |

## Other

- **Enumeration date:** 06/13/2016
- **Last updated:** 10/19/2016