Individual
PEGGY SUE WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6606 LBJ FWY STE 200, DALLAS, TX 75240
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 715-5000
(972) 715-9976
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP110763
TX
363LF0000X
Family Nurse Practitioner
AP110763
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193564502
—
TX
05
—
193564503
—
TX
05
—
193564504
—
TX
01
—
540335
TX BOARD NURSE EXAMINERS
TX
01
—
844N98
BCBS
TX
Enumeration date
04/09/2008
Last updated
06/06/2018
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