MEDICARE: BRIGHTPATH MEDICAL ASSOCIATES, PLLC.

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	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1487447363
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIGHTPATH MEDICAL ASSOCIATES, PLLC.

Provider Business Mailing Address
First Line	:	6541 PRESTON RD STE 200
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75024-2705
Country	:	US
Telephone Number	:	214-267-9109
Fax Number	:

Provider Business Practice Location Address
First Line	:	6541 PRESTON RD STE 200
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75024-2705
Country	:	US
Telephone Number	:	214-267-9109
Fax Number	:	214-975-5554

Authorized Official
Title or Position	:	PHYSICIAN ASSISTANT
Name	:	MRS. SAHBA YAZDANI
Credential	:	PA-C
Telephone Number	:	469-831-7324

Provider Enumeration Date	:	05/23/2025
Last Update Date	:	07/14/2025

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