Provider Demographics
NPI:1619129657
Name:WRIGHT, DANIEL D (LSA)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:D
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:LSA
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6000 STAMPEDE RUN CIR APT 5312
Mailing Address - Street 2:
Mailing Address - City:FT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76123-6123
Mailing Address - Country:US
Mailing Address - Phone:214-224-2757
Mailing Address - Fax:214-764-0880
Practice Address - Street 1:6000 STAMPEDE RUN CIR APT 5312
Practice Address - Street 2:
Practice Address - City:FT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76123-6123
Practice Address - Country:US
Practice Address - Phone:214-227-2457
Practice Address - Fax:214-764-0880
Is Sole Proprietor?:No
Enumeration Date:2008-10-22
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXSA00817246ZC0007X, 246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant