Individual
PAUL D WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5016 S US HWY 75, RADIOLOGY DEPARTMENT, DENISON, TX 75020-4584
(903) 892-1131
(903) 327-8023
Mailing address
816 W CANNON ST, FORT WORTH, TX 76104-3194
(817) 321-0404
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
24529
OK
2085R0202X
Diagnostic Radiology Physician
Primary
N9793
TX
2085R0202X
Diagnostic Radiology Physician
R-7955
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
OK
05
—
PENDING
—
TX
Enumeration date
05/22/2007
Last updated
02/07/2022
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