Provider Demographics
NPI:1487546016
Name:ANDBRACES, PLLC
Entity type:Organization
Organization Name:ANDBRACES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PEOPLE EXPERIENCE LEADER
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKAMIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-585-4123
Mailing Address - Street 1:8610 POTRANCO RD STE 210
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251-3034
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8610 POTRANCO RD STE 210
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-3034
Practice Address - Country:US
Practice Address - Phone:210-585-4123
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty