Provider Demographics
NPI:1548432677
Name:BRIGHT STAR MEDICAL EQUIPMENT HEALTH SUPPLIES & DELIVERY
Entity Type:Organization
Organization Name:BRIGHT STAR MEDICAL EQUIPMENT HEALTH SUPPLIES & DELIVERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:MARION
Authorized Official - Last Name:REECE
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:281-363-9445
Mailing Address - Street 1:25325 BOROUGH PARK DR
Mailing Address - Street 2:SUITE 120
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-3569
Mailing Address - Country:US
Mailing Address - Phone:281-363-9445
Mailing Address - Fax:713-456-2756
Practice Address - Street 1:25325 BOROUGH PARK DR
Practice Address - Street 2:SUITE 120
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-3569
Practice Address - Country:US
Practice Address - Phone:281-363-9445
Practice Address - Fax:713-456-2756
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-28
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0077949332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX5340120001Medicare NSC