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NPI Code Detail

MEDICARE: SCOTT A WRIGHT MD

MEDICARE: SCOTT A WRIGHT MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease PhysicianK9950TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
5P00069396OTHERTXRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1144669202OTHERTXSMITH COUNTY INDIGENT
28F7572OTHERTXBCBS OF TEXAS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043200785
Entity Type Code : Individual
Provider Name (Legal Business Name) : SCOTT A WRIGHT MD
Provider Business Mailing Address
First Line : PO BOX 846098
Second Line :
City : DALLAS
State : TX
Zip : 75284-6098
Country : US
Telephone Number : 903-606-6400
Fax Number : 903-606-1522
Provider Business Practice Location Address
First Line : 1783 TROUP HWY
Second Line :
City : TYLER
State : TX
Zip : 75701-5869
Country : US
Telephone Number : 903-595-2283
Fax Number : 903-595-1063
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2005
Last Update Date : 02/27/2023

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Directions to “ SCOTT A WRIGHT MD” Practice Location

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