Provider Demographics
NPI:1538868294
Name:THE WRIGHT HOUSE WELLNESS CENTER
Entity type:Organization
Organization Name:THE WRIGHT HOUSE WELLNESS CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SERVICES DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BEN
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-467-0088
Mailing Address - Street 1:3208 RED RIVER ST STE 300
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-2650
Mailing Address - Country:US
Mailing Address - Phone:512-467-0088
Mailing Address - Fax:833-468-6475
Practice Address - Street 1:3100 RED RIVER ST STE 3
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-3298
Practice Address - Country:US
Practice Address - Phone:512-900-3116
Practice Address - Fax:833-468-6475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-01
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health