Wright, Otis D
Wright, Otis D is an individual health care provider with primary practice located at 7005 Mira Loma Ln Suite 102, Austin TX 78723-1411. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as his primary health care specialty. Wright, Otis D can be contacted via phone (512) 795-4344.Contact Information
Primary practice address
7005 Mira Loma Ln Suite 102
Austin TX 78723-1411
Phone: (512) 795-4344
Fax: (512) 928-9466
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | NP 16852 | California |
Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | AP115175 | Texas |
Profile Details
NPI number | 1104909688 |
---|---|
LBN Legal business name | Wright, Otis D |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 20th, 2006 |
Last updated | Jan 31st, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1104909688 | NPPES |
Texas | Other | AP115175 | NP LICENSE |
Texas | Other | NP16852 | NP LICENSE |
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