Provider Demographics
NPI:1588436976
Name:WRIGHT, THOMAS (SF)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:SF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5805 CHESTNUT AVE
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23605-2020
Mailing Address - Country:US
Mailing Address - Phone:757-329-2969
Mailing Address - Fax:757-914-1354
Practice Address - Street 1:5805 CHESTNUT AVE
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23605-2020
Practice Address - Country:US
Practice Address - Phone:757-329-2969
Practice Address - Fax:757-914-1354
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-27
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management