Provider Demographics
NPI:1568490423
Name:WRIGHT, DELIA IRENE (MD)
Entity Type:Individual
Prefix:DR
First Name:DELIA
Middle Name:IRENE
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 1:1305 PALUXY RD
Mailing Address - Street 2:STE. B
Mailing Address - City:GRANBURY
Mailing Address - State:TX
Mailing Address - Zip Code:76048-5641
Mailing Address - Country:US
Mailing Address - Phone:817-579-0084
Mailing Address - Fax:817-579-0021
Practice Address - Street 1:1305 PALUXY RD
Practice Address - Street 2:STE. B
Practice Address - City:GRANBURY
Practice Address - State:TX
Practice Address - Zip Code:76048-5641
Practice Address - Country:US
Practice Address - Phone:817-579-0084
Practice Address - Fax:817-579-0021
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2020-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK8702208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX144712003Medicaid
TX8B7130OtherBCBS