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NPI Code Detail

MEDICARE: DR. WILLIAM C. WRIGHT M.D.

MEDICARE: DR. WILLIAM C. WRIGHT M.D.
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 Physician2002022068MO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1268535OTHERMORH MEDICARE (GROUP)
826-8526OTHERMORH MEDICARE (GROUP)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
326D1009687OTHERMOCLIA #
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548217870
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM C. WRIGHT M.D.
Provider Business Mailing Address
First Line : 1333 S SAM HOUSTON BLVD
Second Line :
City : HOUSTON
State : MO
Zip : 65483-2046
Country : US
Telephone Number : 417-967-1252
Fax Number : 417-967-0417
Provider Business Practice Location Address
First Line : 1333 S SAM HOUSTON BLVD
Second Line :
City : HOUSTON
State : MO
Zip : 65483-2046
Country : US
Telephone Number : 417-967-1252
Fax Number : 417-967-0417
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2006
Last Update Date : 12/06/2024

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Directions to “ DR. WILLIAM C. WRIGHT M.D.” Practice Location

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