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Otis D Wright, NP
Gerontology Nurse Practitioner in Austin, Texas
NPI 1104909688

Otis D Wright is a Gerontology Nurse Practitioner based in Austin, TX and is specialized in Gerontology. Otis D Wright practices in Austin, TX and has the professional credentials of NP. The NPI Number for Otis D Wright is 1104909688 and holds a License No. NP 16852 (Texas).

The current practice location address for Otis D Wright is 7005 Mira Loma Ln, Austin, TX and can be reached out via phone at 512-795-4344 and via fax at 512-928-9466.

Location: 7005 Mira Loma Ln, Austin, TX, 78723-1411
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Provider Profile Details
NPI Number
1104909688
Provider Name
Otis D Wright
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
7005 Mira Loma Ln, Austin, TX, 78723-1411
Phone Number
512-795-4344
Fax Number
512-928-9466
Provider Enumeration Date
10/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AP115175 01 TX NP LICENSE
NP16852 01 CA NP LICENSE
institution
Provider Business Practice Location Address Details
Address
7005 Mira Loma Ln
City
State
Zip
78723-1411
Phone Number
512-795-4344
Fax Number
512-928-9466
person
Provider Business Mailing Address Details
Address
7005 Mira Loma Ln
City
State
Zip
78723-1411
Phone Number
512-795-4344
Fax Number
512-928-9466
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
NP 16852 (California)
Definition
Definition to come...
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