MEDICARE: DR. WILLIAM TENNEY WRIGHT JR. MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	MD2894	HI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	41913	OTHER	HI	HMSA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316012883
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM TENNEY WRIGHT JR. MD

Provider Business Mailing Address
First Line	:	1188 BISHOP STREET
Second Line	:	SUITE 3202
City	:	HONOLULU
State	:	HI
Zip	:	96813-3313
Country	:	US
Telephone Number	:	808-533-1712
Fax Number	:	808-537-3125

Provider Business Practice Location Address
First Line	:	1188 BISHOP STREET
Second Line	:	SUITE 3202
City	:	HONOLULU
State	:	HI
Zip	:	96813-3313
Country	:	US
Telephone Number	:	808-533-1712
Fax Number	:	808-537-3125

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/21/2006
Last Update Date	:	07/08/2007

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