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NPI Code Detail

MEDICARE: YOUNG JOO WRIGHT CRNA

MEDICARE: YOUNG JOO WRIGHT CRNA
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
1367500000XCertified Registered Nurse AnesthetistAP121452TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P01095300OTHERTXRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18585UCOTHERTXBLUE CROSS BLUE SHIELD
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 : 1174893424
Entity Type Code : Individual
Provider Name (Legal Business Name) : YOUNG JOO WRIGHT CRNA
Provider Business Mailing Address
First Line : 6501 FANNIN ST STE NC114
Second Line :
City : HOUSTON
State : TX
Zip : 77030-2703
Country : US
Telephone Number : 713-798-7356
Fax Number :
Provider Business Practice Location Address
First Line : 6720 BERTNER AVE STE O-520
Second Line :
City : HOUSTON
State : TX
Zip : 77030-2604
Country : US
Telephone Number : 832-355-2666
Fax Number : 713-798-4693
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2012
Last Update Date : 04/08/2026

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