Provider Demographics
NPI:1508327883
Name:WAINWRIGHT, D'ARCY JOCELYN ARDEN (MD)
Entity Type:Individual
Prefix:
First Name:D'ARCY
Middle Name:JOCELYN ARDEN
Last Name:WAINWRIGHT
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 1:1301 RICHMOND AVE APT 307
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77006-5488
Mailing Address - Country:US
Mailing Address - Phone:713-907-5088
Mailing Address - Fax:
Practice Address - Street 1:17 DAVID BLVD.
Practice Address - Street 2:SUITE 308
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606
Practice Address - Country:US
Practice Address - Phone:813-250-2261
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-28
Last Update Date:2019-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program