Individual
JASON MAYFIELD WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPAS, PA-C
Contact information
Practice address
1411 DENVER AVE, DALHART, TX 79022-4809
(806) 244-9251
Mailing address
1411 DENVER AVE, DALHART, TX 79022-4809
(806) 244-9251
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA05132
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186026401
—
TX
05
—
186026402
—
TX
01
—
8Y1573
BCBS
TX
01
—
8Y1716
BCBS
TX
01
—
8Y3421
BCBS
TX
Enumeration date
08/02/2006
Last updated
12/23/2020
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