Healthcare Provider Details

I. General information

NPI: 1265550610
Provider Name (Legal Business Name): ANTHONY R. WRIGHT, JR., D.O., PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2007
Last Update Date: 08/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17460 IH 35 N #420
SCHERTZ TX
78154-1264
US

IV. Provider business mailing address

17460 IH 35 N #420
SCHERTZ TX
78154-1264
US

V. Phone/Fax

Practice location:
  • Phone: 210-654-9300
  • Fax: 210-654-9302
Mailing address:
  • Phone: 210-654-9300
  • Fax: 210-654-9302

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberK4612
License Number StateTX

VIII. Authorized Official

Name: DR. ANTHONY ROBERT WRIGHT JR.
Title or Position: PRESIDENT
Credential: D.O.
Phone: 210-654-9300