Michelle Marie Wright, PA-C, MMSC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA04588 Issued in TX

Practice address

4400 Long Prairie Rd
Flower Mound, TX 75028-1892

Phone

(214) 729-4743

NPI assigned

Nov 8, 2005

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Miss Michelle Marie Ma Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1700867637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 ACACIA ST",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750285138",
            "telephone_number": "214-729-4743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 LONG PRAIRIE RD",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281892",
            "telephone_number": "214-729-4743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C, MMSC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-08",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA15876",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA04588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "MA",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "PA-C, MMSC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emma Harvin Woodson
• Helen Denise Wooten, PSYD
• Caitlyn Joelle Worledge, M.S., LPC
• Wright Rehab & Wellness
• Jack M Wright, MD
• Nicole Wright, APRN, FNP-C
• Jamie M Wuistinger, DC
• WWFM PLLC
• William Emerson Wyatt Jr., D.D.S.
• Y & M Dental Group, PLLC

• Surgical Physician Assistant in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.