Individual
MRS. CAROLYN JOYCE WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
6115 CAMP BOWIE BLVD STE 290, FORT WORTH, TX 76116-5500
(817) 831-1105
Mailing address
712 SHADY HILL LN., SPRINGTOWN, TX 76082
(817) 565-7605
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
196450
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
196450
LICENSED VOCATIONAL NURSE
TX
Enumeration date
09/11/2018
Last updated
09/11/2018
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