Provider Demographics
NPI:1578252359
Name:HEALTHBRIDGE CORPORATION
Entity Type:Organization
Organization Name:HEALTHBRIDGE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VIVIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DRILON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-734-1543
Mailing Address - Street 1:375 MUNICIPAL DR STE 218
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-3624
Mailing Address - Country:US
Mailing Address - Phone:469-515-6801
Mailing Address - Fax:
Practice Address - Street 1:375 MUNICIPAL DR STE 218
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-3624
Practice Address - Country:US
Practice Address - Phone:469-515-6801
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-05
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty