Provider Demographics
NPI:1265543326
Name:WRIGHT, CYNTHIA DRILECK (AUD)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:DRILECK
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:ANNE
Other - Last Name:DRILECK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:6067 DE ZAVALA
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249
Mailing Address - Country:US
Mailing Address - Phone:210-558-7858
Mailing Address - Fax:210-558-7781
Practice Address - Street 1:6067 DE ZAVALA
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249
Practice Address - Country:US
Practice Address - Phone:210-558-7858
Practice Address - Fax:210-558-7781
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50870237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX80378AOtherBCBS
9389501OtherPHCS
TX80378AOtherBCBS