Individual
DR. WILLIAM C. WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1333 S SAM HOUSTON BLVD, HOUSTON, MO 65483-2046
(417) 967-1252
(417) 967-0417
Mailing address
1333 S SAM HOUSTON BLVD, HOUSTON, MO 65483-2046
(417) 967-1252
(417) 967-0417
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2002022068
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205995608
—
MO
01
—
26-8526
RH MEDICARE (GROUP)
MO
01
—
268535
RH MEDICARE (GROUP)
MO
01
—
26D1009687
CLIA #
MO
01
—
500144698
GROUP MEDICAID
MO
01
—
503835001
MEDICAID (GROUP)
MO
01
—
594000606
RH MEDICAID (GROUP)
MO
01
—
597780303
RH MEDICAID (GROUP)
MO
Enumeration date
05/30/2006
Last updated
12/06/2024
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