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Otis Wright NP PLLC

Nurse Practitioner, Gerontology in San Antonio, TX. Organization (NPI-2).

NPI number1477458206
StatusActive
Last updated in NPPESOct 13, 2026

Details

NPI
1477458206
Entity type
Organization (NPI-2)
Legal business name
Otis Wright NP PLLC
Organization subpart
No
Enumeration date
Oct 12, 2026
Certification date
Oct 13, 2026
Last updated
Oct 13, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LG0600X Nurse Practitioner, Gerontology––Yes

Practice location

11106 Christus Hls
San Antonio, TX 78251-3584

Phone 210-672-6190

Mailing address

607 Lago Lndg
San Antonio, TX 78263-5310

Phone 310-630-7675

Authorized official

Otis Derome Wright
Nurse Practitioner
3106307675

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