MEDICARE: DR. EDWARD J. WHEELER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician	H3348	TX
2	208100000X	Physical Medicine & Rehabilitation Physician	H3348	TX

General Provider Information

NPI Number	:	1376517953
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDWARD J. WHEELER M.D.

Provider Business Mailing Address
First Line	:	8900 EMMETT F LOWRY EXPY STE 200
Second Line	:
City	:	TEXAS CITY
State	:	TX
Zip	:	77591-9119
Country	:	US
Telephone Number	:	409-933-0555
Fax Number	:	409-935-9238

Provider Business Practice Location Address
First Line	:	8900 EMMETT F LOWRY EXPY STE 200
Second Line	:
City	:	TEXAS CITY
State	:	TX
Zip	:	77591-9119
Country	:	US
Telephone Number	:	409-933-0555
Fax Number	:	409-935-9238

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2006
Last Update Date	:	04/06/2023

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Directions to “ DR. EDWARD J. WHEELER M.D.” Practice Location

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