Organization
NBRACE DME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN KIESER (PRESIDENT)
(210) 727-2813
Entity
Organization
Contact information
Practice address
5339 ALPHA RD, SUITE 450, DALLAS, TX 75240
(210) 727-2813
Mailing address
PO BOX 591512, SAN ANTONIO, TX 78259-0125
(210) 727-2813
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1002119
TEXAS HHSC LICENSE
TX
01
—
69001443A
IN BOARD OF PHARMACY OUT OF STATE DME LICENSE
IN
Enumeration date
02/14/2018
Last updated
07/24/2018
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