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Organization

WHEELER CHIROPRACTIC & SPORTS INJURY

Active
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Organization

WHEELER CHIROPRACTIC & SPORTS INJURY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TERRY KEITH WHEELER DC, FIAMA (DOCTOR/OWNER)
(409) 384-5763
Entity
Organization

Contact information

Practice address
145 CURTIS ST, JASPER, TX 75951-4505
(409) 384-5763
(409) 384-1590
Mailing address
PO BOX 1347, JASPER, TX 75951-0014
(409) 384-5763
(409) 384-1590

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC8752
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152536301
—
TX
01
—
8F3670
BLUE CROSS BLUE SHIELD
TX
01
—
DC8752
LICENSE
TX
Enumeration date
08/27/2007
Last updated
06/17/2008
About Stedi
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