Provider Demographics
NPI:1932158292
Name:WRIGHT, JAY V (DO)
Entity type:Individual
Prefix:DR
First Name:JAY
Middle Name:V
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:221 W COLORADO BLVD
Mailing Address - Street 2:SUITE 831
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75208-2363
Mailing Address - Country:US
Mailing Address - Phone:214-946-8856
Mailing Address - Fax:214-946-5848
Practice Address - Street 1:221 W COLORADO BLVD
Practice Address - Street 2:SUITE 831
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75208-2363
Practice Address - Country:US
Practice Address - Phone:214-946-8856
Practice Address - Fax:214-946-5848
Is Sole Proprietor?:No
Enumeration Date:2006-05-06
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXF4711207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8S3851OtherBCBS
TX099278003Medicaid
TX099278003Medicaid
TX8D7368Medicare PIN