MEDICARE: DR. TERRY WRIGHT DPM

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	213ES0131X	Foot Surgery Podiatrist	1197	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
6	P00848935	OTHER	TX	RAIL ROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00L52A	OTHER	TX	BLUE CROSS BLUE SHIELD
2	752437647	OTHER	TX	CIGNA
3	2157365	OTHER	TX	AETNA HMO
4	27417664	OTHER	TX	TRICARE/HUMMANA
5	752437647	OTHER	TX	UNITED HEALTHCARE
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	752437647	OTHER	TX	PHCS
9	752347647	OTHER	TX	PACIFICARE/SECURE HORIZON
10	4357248	OTHER	TX	AETNA PPO

General Provider Information

NPI Number	:	1922068220
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TERRY WRIGHT DPM

Provider Business Mailing Address
First Line	:	3020 RACE ST
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76111-4116
Country	:	US
Telephone Number	:	817-838-9424
Fax Number	:	817-838-9425

Provider Business Practice Location Address
First Line	:	3020 RACE ST
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76111-4116
Country	:	US
Telephone Number	:	817-838-9424
Fax Number	:	817-838-9425

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

Provider Enumeration Date	:	03/23/2006
Last Update Date	:	12/29/2011

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Directions to “ DR. TERRY WRIGHT DPM” Practice Location

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