Individual
OTIS D WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
7005 MIRA LOMA LN, SUITE 102, AUSTIN, TX 78723-1411
(512) 795-4344
(512) 928-9466
Mailing address
7005 MIRA LOMA LN, SUITE 102, AUSTIN, TX 78723-1411
(512) 795-4344
(512) 928-9466
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AP115175
TX
363LG0600X
Gerontology Nurse Practitioner
NP 16852
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP115175
NP LICENSE
TX
01
—
NP16852
NP LICENSE
CA
Enumeration date
10/20/2006
Last updated
01/31/2017
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