Provider Demographics
NPI:1225262066
Name:WHEELER, MARCUS MELTON (MD)
Entity Type:Individual
Prefix:DR
First Name:MARCUS
Middle Name:MELTON
Last Name:WHEELER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:327 TEABERRY CT
Mailing Address - Street 2:
Mailing Address - City:WILLIS
Mailing Address - State:TX
Mailing Address - Zip Code:77318-1508
Mailing Address - Country:US
Mailing Address - Phone:832-859-5332
Mailing Address - Fax:
Practice Address - Street 1:327 TEABERRY CT
Practice Address - Street 2:
Practice Address - City:WILLIS
Practice Address - State:TX
Practice Address - Zip Code:77318-1508
Practice Address - Country:US
Practice Address - Phone:832-859-5332
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-07
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA135619207Q00000X
TXP1713207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine