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NPI 1568474831

NPI 1568474831 : VERNON LEE WHEELER JR. M.D. : FORT HOOD, TX

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General NPI Number Information
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    NPI Number           |    1568474831
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    Entity Type          |    Individual 
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    Provider Name        |    VERNON LEE WHEELER JR. M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/13/2006
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    Last Update Date     |    07/16/2025
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Provider Practice Location Address
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    Address Line         |    590 MEDICAL CENTER RD FAMILY MEDICINE RESIDENCY
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    City                 |    FORT HOOD
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    State                |    TX
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    Zip                  |    76544-5095
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    Country              |    US
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    Telephone            |    254-288-8280
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    Fax                  |    254-618-1014
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Provider Business Mailing Address
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    Address Line         |    590 MEDICAL CENTER RD FAMILY MEDICINE RESIDENCY
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    City                 |    FORT HOOD
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    State                |    TX
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    Zip                  |    76544-5095
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    Country              |    US
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    Telephone            |    254-288-8280
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    Fax                  |    254-618-1014
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    036.103688
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    License Number State |    IL
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Taxonomy #2
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    223530-1
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    License Number State |    NY
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Taxonomy #3
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    48333
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    License Number State |    MN
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