MEDICARE: TERICA WRIGHT RN

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	363LF0000X	Family Nurse Practitioner	917662	TX

General Provider Information

NPI Number	:	1629912175
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERICA WRIGHT RN

Provider Business Mailing Address
First Line	:	2807 ALLEN ST # 652
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75204-1031
Country	:	US
Telephone Number	:	469-442-9792
Fax Number	:

Provider Business Practice Location Address
First Line	:	2807 ALLEN ST # 652
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75204-1031
Country	:	US
Telephone Number	:	469-442-9792
Fax Number	:

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

Provider Enumeration Date	:	04/15/2026
Last Update Date	:	04/15/2026

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