Organization
BRIGHTWAY MEDICAL MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NKEMJIKA UGBALA LPC (EXECUTIVE DIRECTOR)
(832) 717-2780
Entity
Organization
Contact information
Practice address
12808 VETERANS MEMORIAL DR, HOUSTON, TX 77014-2004
(832) 717-2780
(832) 717-2781
Mailing address
12808 VETERANS MEMORIAL DR, HOUSTON, TX 77014-2004
(832) 717-2780
(832) 717-2781
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2189
PODIATRIST
TX
01
—
8420
CHIROPRACTOR
TX
01
—
AP111047
NURSING
TX
Enumeration date
12/06/2017
Last updated
12/06/2017
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