1447274675 NPI number — DR. STEVEN TURNER WRIGHT MD

Table of content: (NPI 1528296969)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447274675 NPI number — DR. STEVEN TURNER WRIGHT MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WRIGHT
Provider First Name:
STEVEN
Provider Middle Name:
TURNER
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1447274675
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/31/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2800 S TEXAS AVE
Provider Second Line Business Mailing Address:
SUITE 102
Provider Business Mailing Address City Name:
BRYAN
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77802-5361
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
979-774-2060
Provider Business Mailing Address Fax Number:
979-776-5914

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2805 EARL RUDDER FWY S
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
COLLEGE STATION
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77845-6080
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
979-680-8808
Provider Business Practice Location Address Fax Number:
979-695-6517
Provider Enumeration Date:
07/27/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207YX0007X , with the licence number:  L9021 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207Y00000X , with the licence number: L9021 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: P00330382 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 137731 . This is a "SUPERIOR HEALTH PLAN" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 179593206 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 8F3713 . This is a "BC/BS TX NUMBER" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 150664100 . This is a "VALLEY HEALTHPLANS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com