Provider Demographics
NPI:1518077205
Name:SIMS WRIGHT, DAPHNE GISELE (MD)
Entity Type:Individual
Prefix:
First Name:DAPHNE
Middle Name:GISELE
Last Name:SIMS 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 1:4102 S CLEAR CREEK RD
Mailing Address - Street 2:STE 107
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76549-5953
Mailing Address - Country:US
Mailing Address - Phone:254-526-8300
Mailing Address - Fax:254-526-4828
Practice Address - Street 1:4102 S CLEAR CREEK RD
Practice Address - Street 2:STE 107
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76549-5953
Practice Address - Country:US
Practice Address - Phone:254-526-8300
Practice Address - Fax:254-526-4828
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2014-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI13516208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics