Provider Demographics
NPI:1497041123
Name:JAEG BRIGHT MEDICAL SERVICES, INC.
Entity Type:Organization
Organization Name:JAEG BRIGHT MEDICAL SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ARCHIBONG
Authorized Official - Middle Name:
Authorized Official - Last Name:NYANIBO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-779-7042
Mailing Address - Street 1:16000 PARK TEN PL STE 304
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-7297
Mailing Address - Country:US
Mailing Address - Phone:713-779-7042
Mailing Address - Fax:713-779-7093
Practice Address - Street 1:16000 PARK TEN PL STE 304
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-7297
Practice Address - Country:US
Practice Address - Phone:713-779-7042
Practice Address - Fax:713-779-7093
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-21
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health