Provider Demographics
NPI:1225057680
Name:WRIGHT, JOSEPH KEITH (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:KEITH
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:11212 STATE HIGHWAY 151
Mailing Address - Street 2:MEDICAL BLD 2, STE 201
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251-4501
Mailing Address - Country:US
Mailing Address - Phone:210-703-9440
Mailing Address - Fax:210-520-0378
Practice Address - Street 1:11212 STATE HWY 151
Practice Address - Street 2:MEDICAL BLD 2, 201
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251
Practice Address - Country:US
Practice Address - Phone:210-703-9440
Practice Address - Fax:210-520-0378
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2021-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK2388208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG33172Medicare UPIN
TX00974MMedicare PIN