Provider Demographics
NPI:1497825160
Name:WRIGHT, ALEXIA SMITH (MD)
Entity Type:Individual
Prefix:
First Name:ALEXIA
Middle Name:SMITH
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:PO BOX 1330
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73070-1330
Mailing Address - Country:US
Mailing Address - Phone:405-307-3026
Mailing Address - Fax:405-515-5114
Practice Address - Street 1:3500 HEALTHPLEX PKWY STE 102
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73072-9801
Practice Address - Country:US
Practice Address - Phone:405-307-6955
Practice Address - Fax:405-307-6957
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK27510207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS19356OtherMEDICAL LICENSE
000097196OtherBCBSMT
000097196OtherBCBSMT
MSBM9828015OtherDEA
MS19356OtherMEDICAL LICENSE