Organization
BROADMOOR HEALTHCARE HOLDINGS, LLC
Active
Other names
BrightStar Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE SANCHEZ (PRESIDENT)
(512) 452-9800
Entity
Organization
Contact information
Practice address
1317 PICADILLY DR STE B201, PFLUGERVILLE, TX 78660-1891
(512) 452-9800
(512) 452-9801
Mailing address
1317 PICADILLY DR STE B201, PFLUGERVILLE, TX 78660-1891
(512) 452-9800
(512) 452-9801
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
015640
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015640
TEXAS DADS
TX
05
—
3247462-01
—
TX
Enumeration date
02/07/2008
Last updated
03/18/2021
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