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NPI Code Detail

MEDICARE: DR. IMAN R WRIGHT

MEDICARE: DR. IMAN R WRIGHT
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
1111N00000XChiropractor6594TX

General Provider Information

NPI Number : 1972532182
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. IMAN R WRIGHT
Provider Business Mailing Address
First Line : 5912 SPENCER HWY
Second Line :
City : PASADENA
State : TX
Zip : 77505-1602
Country : US
Telephone Number : 281-998-6031
Fax Number : 281-998-0558
Provider Business Practice Location Address
First Line : 5912 SPENCER HWY
Second Line :
City : PASADENA
State : TX
Zip : 77505-1602
Country : US
Telephone Number : 281-998-6031
Fax Number : 281-998-0558
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2006
Last Update Date : 06/04/2012

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Directions to “ DR. IMAN R WRIGHT ” Practice Location

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