MEDICARE: JUDI WRIGHT

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	343900000X	Non-emergency Medical Transport (VAN)
2	343800000X	Secured Medical Transport (VAN)

General Provider Information

NPI Number	:	1952700668
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUDI WRIGHT

Provider Business Mailing Address
First Line	:	8328 PALUXY DR
Second Line	:
City	:	TYLER
State	:	TX
Zip	:	75703-5925
Country	:	US
Telephone Number	:	903-534-6014
Fax Number	:	903-534-9715

Provider Business Practice Location Address
First Line	:	8328 PALUXY
Second Line	:
City	:	TYLER
State	:	TX
Zip	:	75703
Country	:	US
Telephone Number	:	903-534-6014
Fax Number	:	903-534-9715

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

Provider Enumeration Date	:	08/19/2014
Last Update Date	:	07/15/2024

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Directions to “ JUDI WRIGHT ” Practice Location

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