Basic Information
| Provider Information | |||||||||
| NPI: | 1497005284 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ADJEI | ||||||||
| FirstName: | BRIGHT | ||||||||
| MiddleName: | APPAU | ||||||||
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| Credential: | PT, DPT, OCS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 966 N GARDEN RIDGE BLVD | ||||||||
| Address2: | SUITE 530 | ||||||||
| City: | LEWISVILLE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750772827 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9724206605 | ||||||||
| FaxNumber: | 8449659627 | ||||||||
| Practice Location | |||||||||
| Address1: | 14660 STATE HIGHWAY 121 | ||||||||
| Address2: | SUITE 110 | ||||||||
| City: | FRISCO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750354629 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2146195401 | ||||||||
| FaxNumber: | 8889654925 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/19/2012 | ||||||||
| LastUpdateDate: | 06/22/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 40QA01457600 | NJ | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | 225100000X | 1242132 | TX | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.