Universal Ortho Brace Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

UNIVERSAL ORTHO BRACE SUPPLY LLC

Practice address

518 E Ramsey Rd Ste 201
San Antonio, TX 78216-4661

Phone

(210) 545-7900

Fax

(866) 902-8681

NPI assigned

Sep 14, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John Kazen, PA

Title

Owner

Phone

(210) 602-4999

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347580800000",
    "number": "1255681417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 E RAMSEY RD STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782164661",
            "telephone_number": "210-545-7900",
            "fax_number": "866-902-8681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 E RAMSEY RD STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782164661",
            "telephone_number": "210-545-7900",
            "fax_number": "866-902-8681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL ORTHO BRACE SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-14",
        "last_updated": "2012-09-14",
        "status": "A",
        "authorized_official_last_name": "KAZEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-602-4999",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.