Individual
DR. CLARENCE JOSEPH WHEELER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1126 SLIDE RD, 4B, LUBBOCK, TX 79416-5402
(806) 793-8447
(806) 687-0337
Mailing address
1126 SLIDE RD, SUITE 4B, LUBBOCK, TX 79416-5402
(806) 793-8447
(806) 687-0337
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
F7299
TX
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
F7299
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000G8915
—
NM
05
—
120521303
—
TX
01
—
87E200
BC/BS
TX
Enumeration date
08/10/2005
Last updated
09/14/2016
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