Provider Demographics
NPI:1134291503
Name:WRIGHT, MARY J (MD)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:J
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:188 W NORTHERN LIGHTS BLVD STE 800
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99503-3984
Mailing Address - Country:US
Mailing Address - Phone:907-276-2803
Mailing Address - Fax:907-278-8052
Practice Address - Street 1:4510 MEDICAL CENTER DR STE 202
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-1605
Practice Address - Country:US
Practice Address - Phone:907-276-2803
Practice Address - Fax:907-278-8052
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK1730208600000X, 2086S0122X
AK1269362086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX310028103Medicaid
TX310028103Medicaid
LA1971154Medicaid