MEDICARE: BRIGHTMED CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	333600000X	Pharmacy
3	3336C0003X	Community/Retail Pharmacy	24370	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2098828	OTHER	PK
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255377065
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIGHTMED CORPORATION

Provider Business Mailing Address
First Line	:	9630 CLAREWOOD DR STE A3
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-3535
Country	:	US
Telephone Number	:	713-772-7700
Fax Number	:	713-772-7706

Provider Business Practice Location Address
First Line	:	9630 CLAREWOOD DR STE A3
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-3535
Country	:	US
Telephone Number	:	713-772-7700
Fax Number	:	713-772-7706

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	CHRISTI ZHAO
Credential	:	MASTER
Telephone Number	:	713-772-7700

Provider Enumeration Date	:	06/21/2006
Last Update Date	:	05/01/2017

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Directions to “BRIGHTMED CORPORATION ” Practice Location

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