Organization
BRACE A-CROSS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETE ROSE (MANAGER)
(817) 875-7748
Entity
Organization
Contact information
Practice address
2813 W SOUTHLAKE BLVD, SUITE 100, SOUTHLAKE, TX 76092-6829
(817) 310-8783
Mailing address
2813 W SOUTHLAKE BLVD, SUITE 100, SOUTHLAKE, TX 76092-6829
(817) 310-8783
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1001756
TX
Other
Enumeration date
06/13/2016
Last updated
10/19/2016
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