Healthcare Provider Details

I. General information

NPI: 1043200785
Provider Name (Legal Business Name): SCOTT A WRIGHT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2005
Last Update Date: 02/27/2023
Certification Date: 02/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1783 TROUP HWY
TYLER TX
75701-5869
US

IV. Provider business mailing address

PO BOX 846098
DALLAS TX
75284-6098
US

V. Phone/Fax

Practice location:
  • Phone: 903-595-2283
  • Fax: 903-595-1063
Mailing address:
  • Phone: 903-606-6400
  • Fax: 903-606-1522

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberK9950
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: