Theresa O. Ndukwe

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

NA Issued in TX

Legal business name

THERESA O. NDUKWE

Doing business as

STARBRIGHT HEALTH SERVICES

Practice address

710 Sotogrande Dr
Garland, TX 75044-5117

Phone

(972) 675-8188

Fax

(972) 530-2485

NPI assigned

Dec 11, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Theresa O. Ndukwe, RN

Title

Program Director

Phone

(972) 675-8188

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• STARBRIGHT HEALTH SERVICES Doing business as

Tax ID family

Aaby All About You Community Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Aaby (All About You) Community Care, LLC

  • Community/Behavioral Health Agency
  • Richardson, TX
  • NPI 1689735300
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1053471359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 SOTOGRANDE DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750445117",
            "telephone_number": "972-675-8188",
            "fax_number": "972-530-2485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 SOTOGRANDE DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750445117",
            "telephone_number": "972-675-8188",
            "fax_number": "972-530-2485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERESA O. NDUKWE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "NDUKWE",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "972-675-8188",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001007839",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001007840",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001007360",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001010165",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STARBRIGHT HEALTH SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in Garland, TX
• Providers in Garland, TX by specialty
• Community/Behavioral Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.