Provider Demographics
NPI:1811937378
Name:BRIGHT, THOMAS C III (MD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:C
Last Name:BRIGHT
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:700 OLYMPIC PLAZA CIR
Mailing Address - Street 2:STE 700
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75701-1951
Mailing Address - Country:US
Mailing Address - Phone:903-262-3900
Mailing Address - Fax:903-262-3993
Practice Address - Street 1:700 OLYMPIC PLAZA CIR
Practice Address - Street 2:STE 700
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75701-1951
Practice Address - Country:US
Practice Address - Phone:903-262-3900
Practice Address - Fax:903-262-3993
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2013-08-14
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Provider Licenses
StateLicense IDTaxonomies
TXE2147208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX113554302Medicaid
TX113554302Medicaid
TXB59324Medicare UPIN