Individual
MR. CORNELIOUS WRIGHT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
12371 S KIRKWOOD RD, STAFFORD, TX 77477-2836
(713) 995-9292
Mailing address
PO BOX 773048, HOUSTON, TX 77215-3048
(713) 256-0744
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
132548
TX
Other
Enumeration date
02/16/2018
Last updated
02/16/2018
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