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Individual

JOSHUA LOGAN WHEAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
16906 SOUTHWEST FWY, SUGAR LAND, TX 77479-2350
(281) 243-1000
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 715-5000
(972) 715-9976

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP130063
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
357176201
TX
01
8539UM
BCBS
TX
01
P01741028
RR MEDICARE
TX
Enumeration date
01/27/2016
Last updated
05/07/2020
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