| Brightway Therapy Services Llc | |
|
12808 Veterans Memorial Dr Houston TX 77014-2004 | |
| (832) 602-5114 | |
| (281) 661-1186 |
| Full Name | Brightway Therapy Services Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 12808 Veterans Memorial Dr, Houston, Texas |
| Authorized Official Name and Position | Ike Oji (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8326025114 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brightway Therapy Services Llc 12808 Veterans Memorial Dr Houston TX 77014-2004 Ph: (832) 602-5114 | Brightway Therapy Services Llc 12808 Veterans Memorial Dr Houston TX 77014-2004 Ph: (832) 602-5114 |
| NPI Number | 1417457797 |
|---|---|
| Provider Enumeration Date | 02/13/2018 |
| Last Update Date | 02/13/2018 |
| Medicare PECOS PAC ID | 5496017451 |
|---|---|
| Medicare Enrollment ID | O20180410000754 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417457797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Texas) | Primary |
| Provider Name | Angela I Okotie Eboh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851406573 PECOS PAC ID: 0446282495 Enrollment ID: I20050909000936 |
| Provider Name | Nkemjika Ugbala |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285163527 PECOS PAC ID: 1557630860 Enrollment ID: I20240123001288 |
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