Provider Demographics
NPI:1932943909
Name:WRIGHT WAY FAMILY PRACTICE LLC
Entity type:Organization
Organization Name:WRIGHT WAY FAMILY PRACTICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:MSN APRN FNP-C
Authorized Official - Phone:817-409-4699
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-24
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty