DERECK TA SHANTE WRIGHT

GREENVILLE, TX
NPI1144810144
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: TX  1018209)
Enumeration Date2021-01-22
Last Update Date2025-02-11
Business Address
DERECK TA SHANTE WRIGHT AGACNP-BC
4215 JOE RAMSEY BLVD E
GREENVILLE, TX 75401-7852
Phone number: 903-408-5834
Mailing Address
DERECK TA SHANTE WRIGHT AGACNP-BC
501 AIR PARK AVE
GREENVILLE, TX 75402-3000
Phone number: 903-408-5834
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