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:
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Health care specialties

SpecialtyCodeLicense #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 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104909688 NPPES
Texas Other AP115175 NP LICENSE
Texas Other NP16852 NP LICENSE

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