Individual
TERESA ANN WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 S BOOTH ST, MART, TX 76664-1503
(254) 749-3732
Mailing address
201 S BOOTH ST, MART, TX 76664-1503
(254) 749-3732
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2012639
TX
Other
Enumeration date
04/21/2015
Last updated
04/21/2015
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