Basic Information
Provider Information
NPI: 1679515373
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AKRIGHT
FirstName: BRUCE
MiddleName: DONALD
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1355 CENTRAL PKWY S
Address2: SUITE 400
City: SAN ANTONIO
State: TX
PostalCode: 782325055
CountryCode: US
TelephoneNumber: 2106509978
FaxNumber: 2106505975
Practice Location
Address1: 5000 SCHERTZ PKWY
Address2: SUITE 100
City: SCHERTZ
State: TX
PostalCode: 781541399
CountryCode: US
TelephoneNumber: 2106509978
FaxNumber: 2106505975
Other Information
ProviderEnumerationDate: 06/10/2006
LastUpdateDate: 07/14/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/14/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207VG0400XF9126TXY Allopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology

ID Information
IDTypeStateIssuerDescription
09837770105TX MEDICAID
09837770305TX MEDICAID


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