Organization
MARY JO WRIGHT MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JOHANNA DAILY WRIGHT MD (OWNER/DIRECTOR)
(504) 525-7017
Entity
Organization
Contact information
Practice address
3270 JOE BATTLE BLVD, 315, EL PASO, TX 79938-2639
(915) 504-5610
Mailing address
5959 GATEWAY BLVD W STE 120, EL PASO, TX 79925-3315
(915) 779-1716
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
K1730
TX
2086S0102X
Surgical Critical Care Physician
Primary
K1730
TX
Other
Enumeration date
08/08/2012
Last updated
08/08/2012
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