Organization
BRIGHTSTAR MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUILLERMO DANIEL PINEDA (PRESIDENT)
(786) 899-8165
Entity
Organization
Contact information
Practice address
1006 N SYLVANIA AVE, FORT WORTH, TX 76111-2516
(786) 899-8165
Mailing address
1006 N SYLVANIA AVE, FORT WORTH, TX 76111-2516
(786) 899-8165
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
05/12/2020
Last updated
05/12/2020
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