Provider Demographics
NPI:1386954253
Name:WRIGHT, TIFFANY N
Entity type:Individual
Prefix:MS
First Name:TIFFANY
Middle Name:N
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 1:1700 SEASPRAY CT
Mailing Address - Street 2:#1092
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-3110
Mailing Address - Country:US
Mailing Address - Phone:832-651-4528
Mailing Address - Fax:
Practice Address - Street 1:1700 SEASPRAY CT
Practice Address - Street 2:#1092
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-3110
Practice Address - Country:US
Practice Address - Phone:832-651-4528
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-13
Last Update Date:2013-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician