Provider Demographics
NPI:1427663913
Name:WRIGHT, CRYSTAL LEE (MSN APRN FNP-C)
Entity type:Individual
Prefix:
First Name:CRYSTAL
Middle Name:LEE
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MSN APRN FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1250 E HIGHWAY 199 STE 102
Mailing Address - Street 2:
Mailing Address - City:SPRINGTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:76082-6093
Mailing Address - Country:US
Mailing Address - Phone:817-409-4699
Mailing Address - Fax:817-409-4751
Practice Address - Street 1:1250 E HIGHWAY 199 STE 102
Practice Address - Street 2:
Practice Address - City:SPRINGTOWN
Practice Address - State:TX
Practice Address - Zip Code:76082-6093
Practice Address - Country:US
Practice Address - Phone:817-409-4699
Practice Address - Fax:817-409-4751
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-10
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10008466208D00000X
TX1008466207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty