Individual
JOE ELLIS WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1650 W ROSEDALE ST, SUITE 305, FORT WORTH, TX 76104-7400
(817) 335-3966
(817) 335-7926
Mailing address
1650 W ROSEDALE ST, SUITE 305, FORT WORTH, TX 76104-7400
(817) 335-3966
(817) 335-7926
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
D1855
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154007-01
—
TX
Enumeration date
05/01/2006
Last updated
06/26/2009
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