Organization
BRAEMAR CONSULTANTS INC
Active
Other names
CVI Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL ALLEN COUGHLIN (PRESIDENT)
(214) 363-2289
Entity
Organization
Contact information
Practice address
11329 N CENTRAL EXPWY, DALLAS, TX 75243-6703
(214) 363-2289
(214) 363-2445
Mailing address
11329 N CENTRAL EXPWY, DALLAS, TX 75243-6703
(214) 363-2289
(214) 363-2445
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0054002
TX
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151418401
—
TX
05
—
151418402
—
TX
Enumeration date
10/20/2006
Last updated
09/09/2008
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