Individual
MR. JERRY C WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
300 WILSON ST, HENDERSON, TX 75652-5956
(903) 655-3830
Mailing address
APACHE TRAIL, NF 6 LAKE CHEROKEE, LONGVIEW, TX 75603
(903) 720-2334
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
232196
TX
Other
Enumeration date
03/06/2007
Last updated
03/21/2008
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