Individual
DR. DALLAS WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 531-4262
(903) 531-5097
Mailing address
PO BOX 841656, DALLAS, TX 75284-1656
(903) 531-5000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
6923
OK
207P00000X
Emergency Medicine Physician
Primary
R1325
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
374305601
—
TX
05
—
374305602
—
TX
01
—
581283YS6P
MEDICARE
TX
01
—
581283YS6V
MEDICARE
TX
01
—
75-0818167-015
TRICARE
TX
01
—
75-0818167-044
TRICARE
TX
01
—
75-0818167-048
TRICARE
TX
01
—
75-0818167-051
TRICARE
TX
01
—
75-1976930-005
TRICARE
TX
01
—
8GX945
BCBS
TX
01
—
P01876976
MEDICARE RAIL ROAD
TX
01
—
P01877173
MEDICARE RAIL ROAD
TX
Enumeration date
04/10/2013
Last updated
06/23/2020
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