Individual provider · NPI-1

Dr. Jeffry Alan Brace, D.O.

Radiology, Diagnostic Radiology · Hurst, TX

NPI number1730490467
StatusActive
Last updated in NPPESAug 18, 2016

Details

NPI
1730490467
Entity type
Individual (NPI-1)
Name
Dr. Jeffry Alan Brace
Credential
D.O.
Sex
Male
Sole proprietor
No
Enumeration date
Jun 28, 2010
Last updated
Aug 18, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0202X Radiology, Diagnostic RadiologyP0894TXYes
2085N0700X P0894TX

Practice location

1845 Precinct Line Rd Ste 209
Hurst, TX 76054-3109

Phone 817-336-4638 · Fax 817-336-7637

Mailing address

1845 Precinct Line Rd Ste 209
Hurst, TX 76054-3109

Phone 817-336-4638 · Fax 817-336-7637

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