# BRACEWELL MEDICAL SUPPLY LLC

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

## Provider details

- **NPI number:** 1669336434
- **Authorized official:** NELSON LAMIZANA (OWNER)
- **Authorized official phone:** (610) 255-7800

## Contact information

- **Practice address:** 5473 BLAIR RD STE 434097, DALLAS, TX 75231-4226
- **Practice address phone:** (610) 255-7800
- **Practice address fax:** (610) 255-7800
- **Mailing address:** 1442 POTTSTOWN PIKE STE 272, WEST CHESTER, PA 19380-1271
- **Mailing address phone:** (610) 255-7800
- **Mailing address fax:** (610) 255-7800

## Taxonomy

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

## Other

- **Enumeration date:** 12/15/2025
- **Last updated:** 12/15/2025