Provider Demographics
NPI:1831705540
Name:WRIGHT, PATRICTIA
Entity type:Individual
Prefix:
First Name:PATRICTIA
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12223 GEMMA LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77044-1703
Mailing Address - Country:US
Mailing Address - Phone:832-230-7513
Mailing Address - Fax:281-272-6602
Practice Address - Street 1:440 BENMAR DR STE 2289
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77060-3077
Practice Address - Country:US
Practice Address - Phone:832-230-7513
Practice Address - Fax:281-272-6602
Is Sole Proprietor?:No
Enumeration Date:2020-09-17
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide