Provider Demographics
NPI:1912282591
Name:BRIGHT MEDICAL INVESTMENTS, INC.
Entity Type:Organization
Organization Name:BRIGHT MEDICAL INVESTMENTS, INC.
Other - Org Name:BRIGHT START CHILDREN'S REHABILITATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RUBEN
Authorized Official - Middle Name:R
Authorized Official - Last Name:TREVINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-544-7722
Mailing Address - Street 1:835 N EXPRESSWAY STE A
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-6854
Mailing Address - Country:US
Mailing Address - Phone:956-544-7722
Mailing Address - Fax:956-544-7728
Practice Address - Street 1:835 N EXPRESSWAY STE A
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-6854
Practice Address - Country:US
Practice Address - Phone:956-544-7722
Practice Address - Fax:956-544-7728
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-14
Last Update Date:2011-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX107302235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX169033101Medicaid
TX45-4849OtherMEDICARE