Provider Demographics
NPI:1972884104
Name:THE BRACE GUY
Entity Type:Organization
Organization Name:THE BRACE GUY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ACEVES
Authorized Official - Suffix:
Authorized Official - Credentials:ORTHOTIST
Authorized Official - Phone:817-469-1951
Mailing Address - Street 1:2880 W PIONEER PKWY STE E
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76013-5960
Mailing Address - Country:US
Mailing Address - Phone:817-469-1951
Mailing Address - Fax:817-860-4472
Practice Address - Street 1:2880 W PIONEER PKWY STE E
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76013-5960
Practice Address - Country:US
Practice Address - Phone:817-469-1951
Practice Address - Fax:817-860-4472
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-01
Last Update Date:2011-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies