Healthcare Provider Details

I. General information

NPI: 1972884104
Provider Name (Legal Business Name): THE BRACE GUY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2011
Last Update Date: 09/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2880 W PIONEER PKWY STE E
ARLINGTON TX
76013-5960
US

IV. Provider business mailing address

2880 W PIONEER PKWY STE E
ARLINGTON TX
76013-5960
US

V. Phone/Fax

Practice location:
  • Phone: 817-469-1951
  • Fax: 817-860-4472
Mailing address:
  • Phone: 817-469-1951
  • Fax: 817-860-4472

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. STEPHEN ACEVES
Title or Position: OWNER/PRESIDENT
Credential: ORTHOTIST
Phone: 817-469-1951