Healthcare Provider Details

I. General information

NPI: 1467068346
Provider Name (Legal Business Name): DARON WRIGHT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2020
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6128 E 38TH ST
TULSA OK
74135-5832
US

IV. Provider business mailing address

2560 S HARVARD PL APT B
TULSA OK
74114-4617
US

V. Phone/Fax

Practice location:
  • Phone: 918-231-2314
  • Fax:
Mailing address:
  • Phone: 918-814-6932
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number22388
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: