Provider Demographics
NPI:1346907987
Name:WRIGHT DIABETES EDUCATION LLC
Entity Type:Organization
Organization Name:WRIGHT DIABETES EDUCATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:CDE
Authorized Official - Phone:936-635-8040
Mailing Address - Street 1:PO BOX 12
Mailing Address - Street 2:
Mailing Address - City:ZAVALLA
Mailing Address - State:TX
Mailing Address - Zip Code:75980-0012
Mailing Address - Country:US
Mailing Address - Phone:936-635-8040
Mailing Address - Fax:
Practice Address - Street 1:503 HILL ST STE 111
Practice Address - Street 2:
Practice Address - City:LUFKIN
Practice Address - State:TX
Practice Address - Zip Code:75904-2792
Practice Address - Country:US
Practice Address - Phone:936-635-8040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-18
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty