Provider Demographics
NPI:1003985193
Name:WRIGHT, HEATHER M (DC)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:M
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:702-B EUREKA ST
Mailing Address - Street 2:
Mailing Address - City:WEATHERFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76086-6519
Mailing Address - Country:US
Mailing Address - Phone:817-594-5944
Mailing Address - Fax:817-594-8495
Practice Address - Street 1:702-B EUREKA ST
Practice Address - Street 2:
Practice Address - City:WEATHERFORD
Practice Address - State:TX
Practice Address - Zip Code:76086-6519
Practice Address - Country:US
Practice Address - Phone:817-594-5944
Practice Address - Fax:817-594-8495
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8933111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8P5470OtherBCBS
TX8P5470OtherBCBS
U84903Medicare UPIN