Organization
ROBERT C BRACE
Active
Other names
WESLACO FOOT CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT C BRACE DPM (OWNER)
(956) 969-1063
Entity
Organization
Contact information
Practice address
107 W 6TH ST, WESLACO, TX 78596-6033
(956) 969-1063
(956) 969-8372
Mailing address
107 W 6TH ST, WESLACO, TX 78596-6033
(956) 969-1063
(956) 969-8372
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
DP1742
TX
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
DP548
TX
213EP1101X
Primary Podiatric Medicine Podiatrist
DP667
TX
213EP1101X
Primary Podiatric Medicine Podiatrist
DP881
TX
213ER0200X
Radiology Podiatrist
DP1742
TX
213ER0200X
Radiology Podiatrist
DP548
TX
213ER0200X
Radiology Podiatrist
DP667
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
DP1742
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
DP548
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
DP667
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
DP881
TX
213ES0131X
Foot Surgery Podiatrist
DP1742
TX
213ES0131X
Foot Surgery Podiatrist
DP548
TX
213ES0131X
Foot Surgery Podiatrist
DP667
TX
213ES0131X
Foot Surgery Podiatrist
DP881
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CK3394
MC RAILROAD GROUP #
TX
01
—
P00256280
MC RAILROAD PTAN
TX
01
—
P00271639
MC RAILROAD PTAN
TX
Enumeration date
05/03/2007
Last updated
02/19/2008
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