Eric Sidney Brighton, CPO, MBA
in Dallas, TX. Individual provider (NPI-1).
NPI number1699599779
StatusActive
Last updated in NPPESNov 14, 2024
Details
- NPI
- 1699599779
- Entity type
- Individual (NPI-1)
- Name
- Eric Sidney Brighton
- Credential
- CPO, MBA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 14, 2024
- Certification date
- Nov 14, 2024
- Last updated
- Nov 14, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 222Z00000X | – | – | Yes | |
| 224P00000X | Prosthetist | – | – |
Practice location
2222 Welborn StDallas, TX 75219-3924
Phone 214-559-7440
Mailing address
2222 Welborn StDallas, TX 75219-3924
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