45D1034287 CLIA NUMBER - DOUGLAS E WRIGHT MD

Laboratory Demographics

CLIA Number: 45D1034287

Facility Name: DOUGLAS E WRIGHT MD

Facility Address:
1001 WATERS STREET SUITE E-200
KERRVILLE, TX
ZIP 78028
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Facility Phone Number: 830 257-6633

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1033118021

Taxonomy: 207VG0400X - Obstetrics & Gynecology
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	45D1034287
LAB Type	Physician Office
Facility Name	DOUGLAS E WRIGHT MD
Street	1001 WATERS STREET SUITE E-200
City	KERRVILLE
State	TX
ZIP	78028
Phone	830 257-6633
CertificateType	4
CertificateEffectiveDate	11/30/2022
CertificateExpirationDate	11/29/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024