Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | N6189 | TX |
NPI | 1013995448 |
---|---|
Provider Name | Dr. William Albert Bright |
First Address | Lufkin, TX 75904-3313 |
Second Address | Lufkin, TX 75904-3313 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2006 |
Last Update Date | 11/11/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
214986601 | (05) | TX |
8W6102 | BCBS (01) | TX |