Healthcare Provider Details

I. General information

NPI: 1215856851
Provider Name (Legal Business Name): RAYCE WRIGHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1128 E MAIN ST APT 4
DURANT OK
74701-6002
US

IV. Provider business mailing address

1128 E MAIN ST APT 4
DURANT OK
74701-6002
US

V. Phone/Fax

Practice location:
  • Phone: 918-820-2230
  • Fax:
Mailing address:
  • Phone: 918-820-2230
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: