Provider Demographics
NPI:1174753453
Name:WRIGHT, MICHAEL BOYD (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:BOYD
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 123977 DEPT 3977
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75312-2108
Mailing Address - Country:US
Mailing Address - Phone:337-494-2921
Mailing Address - Fax:337-494-6523
Practice Address - Street 1:2829 4TH AVE STE 150
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70601-7897
Practice Address - Country:US
Practice Address - Phone:373-480-7800
Practice Address - Fax:337-474-4552
Is Sole Proprietor?:No
Enumeration Date:2009-07-21
Last Update Date:2022-06-09
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Provider Licenses
StateLicense IDTaxonomies
LA2062292084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry