Individual
MRS. VILMA AZUCENA WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNIM, REP.T
Contact information
Practice address
22841 COLORADO DR, PORTER, TX 77365-3635
(713) 832-3322
Mailing address
22841 COLORADO DR, PORTER, TX 77365-3635
(713) 832-3322
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
—
—
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
2472E0500X
EEG Technician
—
—
Other
Enumeration date
08/29/2012
Last updated
09/27/2022
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