Provider Demographics
NPI:1679825269
Name:TOTAL HEALTH PRIMARY CARE, PLLC
Entity Type:Organization
Organization Name:TOTAL HEALTH PRIMARY CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:R
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:JR
Authorized Official - Credentials:DO
Authorized Official - Phone:210-654-9300
Mailing Address - Street 1:PO BOX 181
Mailing Address - Street 2:
Mailing Address - City:SCHERTZ
Mailing Address - State:TX
Mailing Address - Zip Code:78154-1286
Mailing Address - Country:US
Mailing Address - Phone:210-654-9300
Mailing Address - Fax:210-654-9302
Practice Address - Street 1:5016 FM 1518
Practice Address - Street 2:
Practice Address - City:SELMA
Practice Address - State:TX
Practice Address - Zip Code:78154-1286
Practice Address - Country:US
Practice Address - Phone:210-654-9300
Practice Address - Fax:210-654-9302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-08
Last Update Date:2014-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG79786Medicare UPIN