Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | C4157 | AR |
NPI | 1083671275 |
---|---|
Provider Name | Dr. Stephen Edgar Wright |
First Address | Amarillo, TX 79106 |
Second Address | Amarillo, TX 79106 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2006 |
Last Update Date | 08/07/2007 |