Provider Demographics
NPI:1376517953
Name:WHEELER, EDWARD J (MD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:J
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 1:8900 EMMETT F LOWRY EXPY STE 200
Mailing Address - Street 2:
Mailing Address - City:TEXAS CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77591-9119
Mailing Address - Country:US
Mailing Address - Phone:409-933-0555
Mailing Address - Fax:409-935-9238
Practice Address - Street 1:8900 EMMETT F LOWRY EXPY STE 200
Practice Address - Street 2:
Practice Address - City:TEXAS CITY
Practice Address - State:TX
Practice Address - Zip Code:77591-9119
Practice Address - Country:US
Practice Address - Phone:409-933-0555
Practice Address - Fax:409-935-9238
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-13
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH33482081P2900X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine