Healthcare Provider Details

I. General information

NPI: 1841467974
Provider Name (Legal Business Name): STEVEN DOMINIC WRIGHT CSA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2008
Last Update Date: 02/13/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6767 LAKEWOODLANDS DR
SPRING TX
77382
US

IV. Provider business mailing address

6767 LAKEWOODLANDS DR
SPRING TX
77382
US

V. Phone/Fax

Practice location:
  • Phone: 832-876-6243
  • Fax: 281-210-2446
Mailing address:
  • Phone: 832-876-6243
  • Fax: 281-210-2446

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number3307
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: