Individual
DR. DARRELL STAFFORD WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 HILLCREST BAPTIST MEDICAL BLVD., WACO, TX 76712
(254) 202-2911
(254) 202-2919
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 994-0371
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
H0927
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110419201
—
TX
Enumeration date
04/11/2007
Last updated
01/13/2025
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