Individual
MR. ROBERT M WRIGHT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.P.O.
Contact information
Practice address
812 N 4TH ST, LONGVIEW, TX 75601-5413
(903) 236-4488
(903) 236-4607
Mailing address
812 N 4TH ST, LONGVIEW, TX 75601-5413
(903) 236-4488
(903) 236-4607
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
106
TX
224P00000X
Prosthetist
Primary
106
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
519698
BLUE CROSS BLUE SHIELD
TX
Enumeration date
12/14/2005
Last updated
12/10/2007
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