DALLAS GLEN WRIGHT (NPI# 1437508900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437508900 |
| Entity Type | Individual |
| Full Name | DALLAS GLEN WRIGHT |
| Credential | M.D. |
| Practice Address |
6901 Medical Pkwy Waco TX 76712 |
| Mailing Address |
3105 Skinner Dr Lorena TX 76655-3239 |
| Practice Telephone | 2547514242 |
| Practice Fax Number | 2547514243 |
| Mailing Telephone | 8043587488 |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2019-09-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | BP1OO57711 | TX | Allopathic & Osteopathic Physicians |
| N | 2083P0011X |
Preventive Medicine Specialization: Undersea and Hyperbaric Medicine |
S3092 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICARE | 842047 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 601 Clara Barton Blvd, Suite 340, Garland, TX 750425738 | 4698002279 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033552831 | Dallas Wright | Emergency Medicine | 800 E Dawson St, Tyler, TX 75701-2036 | 2013-04-10 |
| Street Address |
6901 MEDICAL PKWY |
| City | WACO |
| State | TX |
| Zip Code | 76712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093708679 | Ascension Providence | General Acute Care Hospital | 6901 Medical Pkwy, Waco, TX 76712-7910 | 2005-08-29 |
| 1801495809 | Heart of Texas Surgical Assists LLC | Specialist/Technologist, Other | 6901 Medical Pkwy, Waco, TX 76712-7910 | 2020-10-21 |
| 1003422528 | Angie Marie Perez | Specialist/Technologist, Other | 6901 Medical Pkwy, Waco, TX 76712-7910 | 2020-09-21 |
| 1336767615 | Carrie Irene Lasly | Nurse Practitioner | 6901 Medical Pkwy, Waco, TX 76712-7910 | 2020-07-13 |
| 1285274373 | Sarah Etheridge | Registered Nurse | 6901 Medical Pkwy, Waco, TX 76712-7910 | 2020-01-07 |
| 1053888412 | Amy Belen Stewart | Nurse Practitioner | 6901 Medical Pkwy, Waco, TX 76712-7910 | 2018-10-24 |
| 1033637954 | Jennifer Sue Armstrong | Nurse Practitioner | 6901 Medical Pkwy, Waco, TX 76712-7910 | 2017-08-30 |
| 1417405291 | Jesse Ian Baker | Nurse Practitioner | 6901 Medical Pkwy, Waco, TX 76712-7910 | 2016-09-21 |
| 1508314410 | Mclennan County Emergency Physicians, Pa | Emergency Medicine | 6901 Medical Pkwy, Waco, TX 76712-7910 | 2016-09-20 |
| 1336590462 | Providence Health Alliance | Clinic/Center | 6901 Medical Pkwy, Waco, TX 76712-7910 | 2016-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922634294 | Waco Ophthalmology, Pllc | Ophthalmology | 602 W Highway 6, Waco, TX 76712 | 2020-03-19 |
| 1326692872 | Oceans Behavioral Hospital of Waco LLC | Psychiatric Hospital | 5931 Crosslake Parkway, Waco, TX 76712 | 2019-08-01 |
| 1831759620 | Jessica Ngoc Vien | Optometrist | 1000 Hwy 6, Ste 210, Waco, TX 76712 | 2019-06-14 |
| 1780150888 | Chelsea Cannon | Occupational Therapist | 330 W State Hwy 6, Waco, TX 76712 | 2018-10-17 |
| 1669955399 | Elizabeth Ann Barnhill | Speech-Language Pathologist | 15003 Riatta Rd, Woodway, TX 76712 | 2018-09-09 |
| 1447731617 | Melanie A Melton | Physical Therapist | 300 West Highway 6, Waco, TX 76712 | 2018-08-27 |
| 1396226403 | Gala Kaye Czajkoski | Occupational Therapy Assistant | 300 West Hightway 6, Waco, TX 76712 | 2018-08-27 |
| 1619457454 | Monica Anderson | Physical Therapy Assistant | 300 W Hwy 6, Waco, TX 76712 | 2018-08-21 |
| 1295238368 | Waco Sn Opco LLC | Skilled Nursing Facility | 7501 Bagby, Waco, TX 76712 | 2018-03-14 |
| 1558872952 | C. Guy Fps, Pllc | Otolaryngology | 1129 Aberdeen Rd, Waco, TX 76712 | 2017-10-12 |
| Find all providers in zip 76712 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548881477 | Gp Medical Services, LLC | Family Medicine | 7200 Westover Rd, Waco, TX 76710-1084 | 2020-05-01 |
| 1265917959 | Martindale Family Medicine Clinic Pa | Family Medicine | 7104 New Sanger Ave, Waco, TX 76712-3928 | 2018-09-27 |
| 1417486812 | Van Kim Nguyen | Family Medicine | 1600 Providence Dr., Waco, TX 76707-2261 | 2017-06-08 |
| 1831596642 | Kerry Irons | Family Medicine | 2712 Cresthill Cir, Waco, TX 76710-1016 | 2014-11-21 |
| 1851730022 | Krystal Ann Estrada | Family Medicine | 1600 Providence Drive, Waco, TX 76707 | 2013-06-20 |
| 1144664061 | Sid Jones X | Family Medicine | 5010 Lakeland Cir Ste A, Waco, TX 76710-2981 | 2013-04-22 |
| 1033450044 | Careconnect Medical Group P.l.l.c | Family Medicine | 1600 Lake Shore Dr Apt 121, Waco, TX 76708-3702 | 2013-03-15 |
| 1942584255 | Heart of Texas Community Health Center, Inc. | Family Medicine | 4601 N 19th St, Waco, TX 76708-1261 | 2011-10-05 |
| 1477837730 | Heart of Texas Community Health Center, Inc. | Family Medicine | 1911 N Martin Luther King Jr Blvd, Waco, TX 76704-1438 | 2011-10-05 |
| 1730478777 | Garret Pool | Family Medicine | 600 Franklin Ave, Suite B-c, Waco, TX 76701-0002 | 2011-03-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.