Individual
DR. JONATHAN DAVID WHEATLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-7115
(254) 724-2111
Mailing address
2401 S. 31ST STREET, TEMPLE, TX 76508
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
BP10040571
TX
207P00000X
Emergency Medicine Physician
Primary
P7050
TX
Other
Enumeration date
06/15/2011
Last updated
10/18/2013
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