Provider Demographics
NPI:1376525618
Name:WRIGHT, FRANK DAVID (MD)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:DAVID
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 S KING ST
Mailing Address - Street 2:
Mailing Address - City:SEGUIN
Mailing Address - State:TX
Mailing Address - Zip Code:78155-5838
Mailing Address - Country:US
Mailing Address - Phone:830-484-4200
Mailing Address - Fax:830-386-0891
Practice Address - Street 1:411 S KING ST
Practice Address - Street 2:
Practice Address - City:SEGUIN
Practice Address - State:TX
Practice Address - Zip Code:78155-5838
Practice Address - Country:US
Practice Address - Phone:830-484-4200
Practice Address - Fax:830-386-0891
Is Sole Proprietor?:No
Enumeration Date:2005-11-14
Last Update Date:2020-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK5030207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX104086703Medicaid
TX8269B6Medicare ID - Type Unspecified
TX104086703Medicaid