Individual
THOMAS MICHAEL WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
504 MEDICAL CENTER BLVD, CONROE, TX 77304-2808
(713) 481-3544
(713) 432-0221
Mailing address
PO BOX 4677, HOUSTON, TX 77210-4677
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
E9007
TX
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
E9007
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10025596
RAILROAD MEDICARE
TX
05
—
138606213
—
TX
Enumeration date
06/20/2005
Last updated
10/20/2010
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