1336487644 NPI number — MR. MELVIN NONE WRIGHT FNP

Table of content: MR. MELVIN NONE WRIGHT FNP (NPI 1336487644)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1336487644 NPI number — MR. MELVIN NONE WRIGHT FNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WRIGHT
Provider First Name:
MELVIN
Provider Middle Name:
NONE
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
FNP
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1336487644
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/21/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
401 RIATA
Provider Second Line Business Mailing Address:
401 RIATA
Provider Business Mailing Address City Name:
GATESVILLE
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
76528-2696
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
401 RIATA
Provider Second Line Business Practice Location Address:
401 RIATA
Provider Business Practice Location Address City Name:
GATESVILLE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76528-2696
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
936-591-2422
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/21/2013

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
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Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  229287 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)