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NPI Code Detail

MEDICARE: JEFFREY WHEELER

MEDICARE: JEFFREY WHEELER
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
11041C0700XClinical Social Worker64869TX
2104100000XSocial Worker

General Provider Information

NPI Number : 1639698350
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY WHEELER
Provider Business Mailing Address
First Line : 906 MICHELLE DR
Second Line :
City : MIDLOTHIAN
State : TX
Zip : 76065-6542
Country : US
Telephone Number : 316-992-0896
Fax Number :
Provider Business Practice Location Address
First Line : 4635 SOUTHWEST FWY STE 635
Second Line :
City : HOUSTON
State : TX
Zip : 77027-7112
Country : US
Telephone Number : 713-850-0049
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2017
Last Update Date : 03/04/2026

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Directions to “ JEFFREY WHEELER ” Practice Location

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