NPI Code Details Logo

NPI 1053357699

NPI 1053357699 : BRADEN PARTNERS LP : FORT WORTH, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1053357699
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    BRADEN PARTNERS LP 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/21/2006
-----------------------------------------------------
    Last Update Date     |    01/04/2016
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2420 GRAVEL DR BLDG. 25
-----------------------------------------------------
    City                 |    FORT WORTH
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    76118-6938
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    972-484-1009
-----------------------------------------------------
    Fax                  |    971-484-1040
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    8730 HARRIS RD UNIT 204
-----------------------------------------------------
    City                 |    BAKERSFIELD
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    93311-8990
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    661-396-3720
-----------------------------------------------------
    Fax                  |    661-832-6009
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CHIEF EXECUTIVE OFFICER
-----------------------------------------------------
    Name                 |     JANE L THOMAS 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    415-893-1518
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    332BX2000X
-----------------------------------------------------
    Taxonomy Name        |    Oxygen Equipment & Supplies (DME)
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.