MEDICARE: BRIGHT STAR MEDICAL EQUIPMENT HEALTH SUPPLIES & DELIVERY

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	0077949	TX

General Provider Information

NPI Number	:	1548432677
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIGHT STAR MEDICAL EQUIPMENT HEALTH SUPPLIES & DELIVERY

Provider Business Mailing Address
First Line	:	25325 BOROUGH PARK DR
Second Line	:	SUITE 120
City	:	THE WOODLANDS
State	:	TX
Zip	:	77380-3569
Country	:	US
Telephone Number	:	281-363-9445
Fax Number	:	713-456-2756

Provider Business Practice Location Address
First Line	:	25325 BOROUGH PARK DR
Second Line	:	SUITE 120
City	:	THE WOODLANDS
State	:	TX
Zip	:	77380-3569
Country	:	US
Telephone Number	:	281-363-9445
Fax Number	:	713-456-2756

Authorized Official
Title or Position	:	OWNER
Name	:	WILLIAM MARION REECE JR.
Credential	:
Telephone Number	:	281-363-9445

Provider Enumeration Date	:	03/28/2008
Last Update Date	:	07/09/2008

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