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Individual

DOUGLAS HENRY WRIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
J0378
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1097361
FIRST HEALTH
05
124843704
TX
01
127327100
FIRSTCARE
TX
01
300109574
RAILROAD MEDICARE
01
87470Y
BLUE CROSS
TX
05
F5483
NM
Enumeration date
06/23/2005
Last updated
01/04/2024
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