Jerry C Wheeler CRNA

NPI 1376672006 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1376672006
Gender Male
Enumeration Date 03/06/2007
Last Updated 03/21/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
300 WILSON ST
HENDERSON TX, 75652-5956, US
Phone (903) 655-3830
Fax
Business Location
APACHE TRAIL
NF 6 LAKE CHEROKEE
LONGVIEW TX, 75603, US
Phone (903) 720-2334
Fax
Toxanomy
Taxonomy Code 367500000X
License State Texas
License Number 232196
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According to our database, Mr. Jerry C Wheeler CRNA NPI is 1376672006, taxonomy code is 367500000X and license number is 232196, license state is located at Texas. Jerry C Wheeler CRNA physically located at 300 Wilson St, Henderson TX, 75652-5956. NPI Number Jerry C Wheeler CRNA has the Individual type.

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1376672006 NPI number is provided on an as is basis without warranty of any kind. 1376672006 is maintained by the National Plan & Provider Enumeration System. The contents of Jerry C Wheeler CRNA are for informational purposes only.