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NPI Code Detail

MEDICARE: BRAYDEN PRESTON

MEDICARE: BRAYDEN PRESTON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1487353744
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRAYDEN PRESTON
Provider Business Mailing Address
First Line : 505 E HUNTLAND DR STE 320
Second Line :
City : AUSTIN
State : TX
Zip : 78752-3741
Country : US
Telephone Number : 512-201-4501
Fax Number :
Provider Business Practice Location Address
First Line : 505 E HUNTLAND DR STE 320
Second Line :
City : AUSTIN
State : TX
Zip : 78752-3741
Country : US
Telephone Number : 512-201-4501
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2023
Last Update Date : 08/21/2025

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Directions to “ BRAYDEN PRESTON ” Practice Location

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