Provider Demographics
NPI:1598820425
Name:BRIGHTON CENTER
Entity Type:Organization
Organization Name:BRIGHTON CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:ISAI
Authorized Official - Middle Name:
Authorized Official - Last Name:SAPIEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-826-4492
Mailing Address - Street 1:14207 HIGGINS ROAD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217
Mailing Address - Country:US
Mailing Address - Phone:210-826-4492
Mailing Address - Fax:210-826-7887
Practice Address - Street 1:14207 HIGGINS ROAD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217
Practice Address - Country:US
Practice Address - Phone:210-826-4492
Practice Address - Fax:210-826-7887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-22
Last Update Date:2013-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX017445001Medicaid
TX0031GDOtherBLUE CROSS