MEDICARE: MR. DAVID VINCENT 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
1	207L00000X	Anesthesiology Physician	4301086990	MI

General Provider Information

NPI Number	:	1780803197
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DAVID VINCENT WRIGHT M.D.

Provider Business Mailing Address
First Line	:	275 LANTERN BEND DR.
Second Line	:	SUITE 400
City	:	HOUSTON
State	:	TX
Zip	:	77090-2841
Country	:	US
Telephone Number	:	281-440-0101
Fax Number	:	855-404-4345

Provider Business Practice Location Address
First Line	:	275 LANTERN BEND DR.
Second Line	:	SUITE 400
City	:	HOUSTON
State	:	TX
Zip	:	77090-2841
Country	:	US
Telephone Number	:	281-440-0101
Fax Number	:	855-404-4345

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

Provider Enumeration Date	:	04/24/2007
Last Update Date	:	09/19/2019

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