Provider Demographics
NPI:1891669719
Name:WRIGHT, CARRIE KATHERINE
Entity type:Individual
Prefix:
First Name:CARRIE
Middle Name:KATHERINE
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:KATIE
Other - Middle Name:
Other - Last Name:WRIGHT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2222 W SPRING CREEK PKWY STE 116
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-4508
Mailing Address - Country:US
Mailing Address - Phone:972-964-3214
Mailing Address - Fax:
Practice Address - Street 1:2222 W SPRING CREEK PKWY STE 116
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023-4508
Practice Address - Country:US
Practice Address - Phone:972-964-3214
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-02
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program