Healthcare Provider Details

I. General information

NPI: 1841266517
Provider Name (Legal Business Name): ANTHONY R. WRIGHT JR. DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2006
Last Update Date: 07/09/2025
Certification Date: 07/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5016 FM 1518
SELMA TX
78154
US

IV. Provider business mailing address

5016 E FM 1518 N
SELMA TX
78154-1360
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:
Title or Position:
Credential:
Phone: