Provider Demographics
NPI:1881715860
Name:MEYERS BRACE & LIMB CO., INC.
Entity type:Organization
Organization Name:MEYERS BRACE & LIMB CO., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:MEYERS
Authorized Official - Suffix:
Authorized Official - Credentials:CPO
Authorized Official - Phone:940-723-2868
Mailing Address - Street 1:804 BROOK AVE
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76301-4209
Mailing Address - Country:US
Mailing Address - Phone:940-723-2868
Mailing Address - Fax:940-723-1457
Practice Address - Street 1:804 BROOK AVE
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76301-4209
Practice Address - Country:US
Practice Address - Phone:940-723-2868
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2013-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX000067222Z00000X, 224P00000X
TX00067332B00000X, 335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotistGroup - Multi-Specialty
No224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetistGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX107761201Medicaid
TX500218OtherBLUE CROSS BLUE SHIELD
TX=========OtherALL HEALTH INSURANCE
TX=========OtherTRICARE
TX=========OtherTRICARE