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NPI Code Detail

MEDICARE: BRIDGEWAY HEALTH SERVICES LLC

MEDICARE: BRIDGEWAY HEALTH SERVICES LLC
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
1251E00000XHome Health Agency014989TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336234087
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRIDGEWAY HEALTH SERVICES LLC
Provider Business Mailing Address
First Line : 3033 W PRESIDENT GEORGE BUSH HWY STE 150
Second Line :
City : PLANO
State : TX
Zip : 75075-5752
Country : US
Telephone Number : 817-878-4277
Fax Number : 817-878-4303
Provider Business Practice Location Address
First Line : 6000 WESTERN PL STE 410
Second Line :
City : FT WORTH
State : TX
Zip : 76107-4607
Country : US
Telephone Number : 817-878-4277
Fax Number : 817-878-4303
Authorized Official
Title or Position : VP
Name : DARREN SAPP
Credential :
Telephone Number : 972-390-7733
Provider Enumeration Date : 10/04/2006
Last Update Date : 12/22/2025

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Directions to “BRIDGEWAY HEALTH SERVICES LLC ” Practice Location

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