Provider Demographics
NPI: | 1700027638 |
---|---|
Name: | BRADEN PARTNERS LP |
Entity Type: | Organization |
Organization Name: | BRADEN PARTNERS LP |
Other - Org Name: | PACIFIC PULMONARY SERVICES |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | CHIEF EXECUTIVE OFFICER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | YEHOSHUA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | PARNES |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 415-893-1518 |
Mailing Address - Street 1: | 8730 HARRIS RD |
Mailing Address - Street 2: | UNIT 204 |
Mailing Address - City: | BAKERSFIELD |
Mailing Address - State: | CA |
Mailing Address - Zip Code: | 93311-8990 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 661-396-3720 |
Mailing Address - Fax: | 661-832-6009 |
Practice Address - Street 1: | 10417 GULFDALE STREET |
Practice Address - Street 2: | |
Practice Address - City: | SAN ANTONIO |
Practice Address - State: | TX |
Practice Address - Zip Code: | 78216-4130 |
Practice Address - Country: | US |
Practice Address - Phone: | 210-348-6331 |
Practice Address - Fax: | 210-348-6344 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2009-03-24 |
Last Update Date: | 2017-05-11 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 332BX2000X | Suppliers | Durable Medical Equipment & Medical Supplies | Oxygen Equipment & Supplies |