| NPI | 1740894807 |
|---|---|
| Doing Business As | BRAVURA FAS |
| Entity Type | Organization |
| Authorized Contact | PATRICK WYLIE BURGE Owner 214-321-9410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2020-10-30 |