Provider Demographics
NPI:1063788552
Name:BRIGHT GOLD
Entity type:Organization
Organization Name:BRIGHT GOLD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRITT
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:HOLLINGSWORTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-693-2316
Mailing Address - Street 1:401 E CORPORATE DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75057-6430
Mailing Address - Country:US
Mailing Address - Phone:469-948-4850
Mailing Address - Fax:469-948-4851
Practice Address - Street 1:401 E CORPORATE DR
Practice Address - Street 2:SUITE 100
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75057-6430
Practice Address - Country:US
Practice Address - Phone:469-948-4850
Practice Address - Fax:469-948-4851
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-28
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care