Healthcare Provider Details

I. General information

NPI: 1700285574
Provider Name (Legal Business Name): CARA WRIGHT MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2014
Last Update Date: 03/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2926 W HUNTSVILLE AVE
SPRINGDALE AR
72762-7726
US

IV. Provider business mailing address

2964 W HUNTSVILLE AVE
SPRINGDALE AR
72762-7726
US

V. Phone/Fax

Practice location:
  • Phone: 479-717-1171
  • Fax: 866-756-3200
Mailing address:
  • Phone: 479-717-1171
  • Fax: 866-756-3200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberE-1700
License Number StateAR

VIII. Authorized Official

Name: LESLIE ALEXANDER
Title or Position: CREDENTIALING MANAGER
Credential:
Phone: 479-439-8157