Healthcare Provider Details

I. General information

NPI: 1144388851
Provider Name (Legal Business Name): JAMES LOUIS WRIGHT L.P.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1631 E 2ND ST STE B
AUSTIN TX
78702-4491
US

IV. Provider business mailing address

1430 COLLIER ST
AUSTIN TX
78704-2911
US

V. Phone/Fax

Practice location:
  • Phone: 512-804-3350
  • Fax: 512-804-3672
Mailing address:
  • Phone: 512-445-7787
  • Fax: 512-440-4059

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number61206
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: