Provider Demographics
NPI:1962525436
Name:WRIGHT, CHINA LOUISE (MS,CCC-A)
Entity type:Individual
Prefix:MRS
First Name:CHINA
Middle Name:LOUISE
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MS,CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7401 CALMAR CT
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76112-5403
Mailing Address - Country:US
Mailing Address - Phone:817-429-2059
Mailing Address - Fax:
Practice Address - Street 1:6737 BRENTWOOD STAIR RD
Practice Address - Street 2:SUITE #116
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76112-3348
Practice Address - Country:US
Practice Address - Phone:817-429-2059
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50103231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist