Individual
RANDALL JOHN WRIGHT
Active
Individual
RANDALL JOHN WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
L7608
TX
2084N0400X
Neurology Physician
MD.024676
LA
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
L7608
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00106W
MEDICARE GRP PTAN HARRIS CO
TX
01
—
00659N
MEDICARE GRP PTAN # MONTGOMERY CO
TX
01
—
1184714867
TYPE 2 NPI
TX
05
—
166839402
—
TX
01
—
8DH440
BCBSTX GRP PROV REC NUMBER
TX
Enumeration date
10/10/2006
Last updated
03/04/2019
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