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Individual

KEVIN D WHEELER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1140 BUSINESS CENTER DR, 400, HOUSTON, TX 77043
(713) 464-1981
(713) 464-1131
Mailing address
1140 BUSINESS CENTER DR, 400, HOUSTON, TX 77043-2737
(713) 464-1981
(713) 464-1131

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
H2899
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020015169
MEDICARE RR
TX
05
039433001
TX
Enumeration date
12/22/2005
Last updated
09/25/2024
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