Individual
CRYSTAL MCTAGGART WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7208
(214) 645-0624
(214) 645-0078
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 645-0624
(214) 645-0078
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
751631
TX
363LA2200X
Adult Health Nurse Practitioner
Primary
AP125257
TX
363LG0600X
Gerontology Nurse Practitioner
751631
TX
Other
Enumeration date
02/27/2014
Last updated
04/13/2015
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