Individual
MINDA WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6606 LBJ FWY, SUITE 200, DALLAS, TX 75240
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 715-5000
(972) 715-9976
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
576079
TX
367500000X
Certified Registered Nurse Anesthetist
AP105578
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109877404
—
TX
05
—
109877411
—
TX
01
—
8008UH
BCBS
TX
01
—
P01447026
RR
TX
Enumeration date
12/28/2005
Last updated
11/08/2018
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