Individual
THOMAS WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12665 VILLAGE LN APT 3231, LOS ANGELES, CA 90094-2844
(409) 504-2645
Mailing address
7810 WEAVER DR, BEAUMONT, TX 77706-5352
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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