Organization
A BRIGHTER CHOICE
Active
Other names
Brian Arceneaux/Edwina Smith
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EDWINA LEIGH SMITH (PROGRAM MANAGER)
(682) 472-4680
Entity
Organization
Contact information
Practice address
1309 PORTA ST APT 805, FORT WORTH, TX 76120-4109
(214) 707-9387
Mailing address
PO BOX 14167, ARLINGTON, TX 76094-1167
(214) 707-9387
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
08/23/2011
Last updated
08/23/2011
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