Healthcare Provider Details

I. General information

NPI: 1902712235
Provider Name (Legal Business Name): HEALTHBRIDGE ALLIANCE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 BEACH BLVD
SHERMAN TX
75090-5312
US

IV. Provider business mailing address

1201 BEACH BLVD
SHERMAN TX
75090-5312
US

V. Phone/Fax

Practice location:
  • Phone: 903-421-6057
  • Fax:
Mailing address:
  • Phone: 903-421-6057
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. EMMANUEL TIKU AGBORMBAI
Title or Position: MANAGER
Credential: PHD
Phone: 903-421-6057