Provider Demographics
NPI:1225002280
Name:WRIGHT, LIBBYETTE E (MD)
Entity Type:Individual
Prefix:DR
First Name:LIBBYETTE
Middle Name:E
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 1:915 GESSNER RD
Mailing Address - Street 2:SUITE 640
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2527
Mailing Address - Country:US
Mailing Address - Phone:713-984-0010
Mailing Address - Fax:713-984-0067
Practice Address - Street 1:915 GESSNER RD
Practice Address - Street 2:SUITE 640
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2527
Practice Address - Country:US
Practice Address - Phone:713-984-0010
Practice Address - Fax:713-984-0067
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-15
Last Update Date:2007-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ1157207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00W307Medicare ID - Type UnspecifiedMEDICARE GROUP
TXF77245Medicare UPIN
TX8F2646Medicare ID - Type UnspecifiedMEDICARE INDIVIDUAL