MEDICARE: DR. EDWARD ANTHONY WRIGHT MEDICAL DOCTOR

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
1	2081P0010X	Pediatric Rehabilitation Medicine Physician	23294	OK
2	2081P0010X	Pediatric Rehabilitation Medicine Physician	H6718	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124017926
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDWARD ANTHONY WRIGHT MEDICAL DOCTOR

Provider Business Mailing Address
First Line	:	1600 W 38TH ST
Second Line	:	SUITE 320
City	:	AUSTIN
State	:	TX
Zip	:	78731-6400
Country	:	US
Telephone Number	:	512-324-3310
Fax Number	:

Provider Business Practice Location Address
First Line	:	1301 BARBARA JORDAN BLVD
Second Line	:	SUITE 200
City	:	AUSTIN
State	:	TX
Zip	:	78723-3077
Country	:	US
Telephone Number	:	512-324-0907
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/14/2005
Last Update Date	:	04/15/2014

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Directions to “ DR. EDWARD ANTHONY WRIGHT MEDICAL DOCTOR” Practice Location

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