Individual
DR. JAMES MIKEAL WOHLGEMUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
201 NW RENFRO ST, BURLESON, TX 76028-4113
(817) 295-5601
(817) 295-1884
Mailing address
PO BOX 609, BURLESON, TX 76097-0609
(817) 295-5601
(817) 295-1884
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
2080T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00E31A
BCBS OF TEXAS
TX
Enumeration date
09/13/2005
Last updated
03/03/2008
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