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Individual

DR. CHARLES HENRY WHEELER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
4515 MARSHA SHARP FWY, LUBBOCK, TX 79407-2520
(806) 744-7223
(806) 740-3325
Mailing address
2804 N LOOP 289, LUBBOCK, TX 79415-1410
(806) 744-7223
(806) 740-3325

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
E6194
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
138841514
TX
01
E6194
LICENSE
TX
05
Q3157
NM
Enumeration date
05/24/2006
Last updated
12/31/2015
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