NPI 1508541798

Bravo Health Mid-Atlantic, INC.

Organisation Health Maintenance Organization Austin, TX

Practice location

Address: 9623 Braeburn Gln, Austin, TX 78729-2710
Phone: (512) 534-7482
Mailing address: 500 Great Circle Rd, Nashville, TN 37228-1309

Authorised official

Name: Marlena Powell Pickering
Title: Attorney
Phone: (571) 401-5886

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

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Registry record

NPI: 1508541798
Entity type: Organization
NPI issued: 16 Jun 2023
Record last updated: 31 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.