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NPI Code Detail

MEDICARE: GLORIA S WRIGHT DO

MEDICARE: GLORIA S WRIGHT DO
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
1207Q00000XFamily Medicine PhysicianK4613TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18W4240OTHERTXBCBS PIN
2K4613OTHERLICENSE NUMBER

General Provider Information

NPI Number : 1154397842
Entity Type Code : Individual
Provider Name (Legal Business Name) : GLORIA S WRIGHT DO
Provider Business Mailing Address
First Line : 5016 E FM 1518 N
Second Line :
City : SELMA
State : TX
Zip : 78154-1360
Country : US
Telephone Number : 210-654-9300
Fax Number : 210-654-9302
Provider Business Practice Location Address
First Line : 5016 FM 1518
Second Line :
City : SELMA
State : TX
Zip : 78154-1360
Country : US
Telephone Number : 210-654-9300
Fax Number : 210-654-9302
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2006
Last Update Date : 07/09/2025

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Directions to “ GLORIA S WRIGHT DO” Practice Location

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