Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QA0505X | Family Doctor - Adult Medicine | G2060 | TX |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | G2060 | TX |
NPI | 1760528251 |
---|---|
Provider Name | Dr. James Bruce Wright |
First Address | Miami, FL 33131-2003 |
Second Address | Dallas, TX 75247-3836 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2007 |
Last Update Date | 15/06/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A67827 | (02) |