# BRAVO DME LLC

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

## Provider details

- **NPI number:** 1972822674
- **Authorized official:** MR. JOSEPHAT VALDEZ (PRESIDENT)
- **Authorized official phone:** (512) 784-0313

## Contact information

- **Practice address:** 902 OLD AUSTIN HUTTO RD, SUITE 102, PFLUGERVILLE, TX 78660-4116
- **Practice address phone:** (512) 990-5440
- **Mailing address:** 902 OLD AUSTIN HUTTO RD, SUITE 102, PFLUGERVILLE, TX 78660-4116
- **Mailing address phone:** (512) 990-5440

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 801218214 | TX | Yes |

## Other

- **Enumeration date:** 05/20/2010
- **Last updated:** 05/20/2010