Organization
BRAVO DME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPHAT VALDEZ (PRESIDENT)
(512) 784-0313
Entity
Organization
Contact information
Practice address
902 OLD AUSTIN HUTTO RD, SUITE 102, PFLUGERVILLE, TX 78660-4116
(512) 990-5440
Mailing address
902 OLD AUSTIN HUTTO RD, SUITE 102, PFLUGERVILLE, TX 78660-4116
(512) 990-5440
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
801218214
TX
Other
Enumeration date
05/20/2010
Last updated
05/20/2010
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