Organization
BRADEN PARTNERS LP
Active
Other names
Pacific Pulmonary Services
Organization subpart
No
Provider details
NPI number
Authorized official
JANE L THOMAS (CHIEF EXECUTIVE OFFICER)
(415) 893-1518
Entity
Organization
Contact information
Practice address
7850 S HARDY DR, SUITE 105, TEMPE, AZ 85284-1122
(480) 477-3085
(480) 477-3089
Mailing address
8730 HARRIS RD., UNIT 204, BAKERSFIELD, CA 93311-8990
(661) 396-3720
(661) 832-6009
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
3336M0002X
Mail Order Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03525376
—
NM
05
—
100510346
—
NV
05
—
102200433-0003
—
PA
05
—
1427081876
—
UT
05
—
200073720D
—
OK
05
—
200073720E
—
OK
05
—
200363380C
—
KS
05
—
200835660A
—
IN
05
—
247370
—
OR
05
—
410773
—
AZ
05
—
6029029
—
WA
05
—
807577400
—
ID
05
—
933457000
—
MN
05
—
991655
—
AZ
05
—
XPH015089
—
CA
Enumeration date
07/09/2006
Last updated
08/26/2013
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