Individual
DR. ROBERT C BRACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
533 PECAN BLVD, MCALLEN, TX 78501-2356
(956) 682-4187
(956) 682-9739
Mailing address
533 PECAN BLVD, MCALLEN, TX 78501-2356
(956) 682-4187
(956) 682-9739
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
0548
TX
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
0548
TX
213ES0000X
Sports Medicine Podiatrist
0548
TX
213ES0131X
Foot Surgery Podiatrist
0548
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127193403
—
TX
01
—
160138702
MEDICAID DME
TX
Enumeration date
09/09/2005
Last updated
08/27/2010
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