Organization
MILLER BRACE CO., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANET D NEVIL L.O. (VICE-PRESIDENT)
(214) 824-4507
Entity
Organization
Contact information
Practice address
3902 GASTON AVE, DALLAS, TX 75246-1511
(214) 824-4507
(214) 824-7553
Mailing address
3902 GASTON AVE, DALLAS, TX 75246-1511
(214) 824-4507
(214) 824-7553
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
000129
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0099202-01
—
TX
Enumeration date
06/13/2005
Last updated
05/07/2014
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