MEDICARE: WRIGHT CHIROPRACTIC, P.C.

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	111NN0400X	Neurology Chiropractor	DC 5007	TX

General Provider Information

NPI Number	:	1437273471
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WRIGHT CHIROPRACTIC, P.C.

Provider Business Mailing Address
First Line	:	302 E BEAUREGARD AVE
Second Line	:
City	:	SAN ANGELO
State	:	TX
Zip	:	76903-5923
Country	:	US
Telephone Number	:	325-655-1070
Fax Number	:

Provider Business Practice Location Address
First Line	:	302 E BEAUREGARD AVE
Second Line	:
City	:	SAN ANGELO
State	:	TX
Zip	:	76903-5923
Country	:	US
Telephone Number	:	325-655-1070
Fax Number	:	325-655-1036

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MONTY C. WRIGHT
Credential	:	DC
Telephone Number	:	325-655-1070

Provider Enumeration Date	:	03/16/2007
Last Update Date	:	05/20/2008

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