Provider Demographics
NPI:1023418357
Name:WHEELER, ERNEST (PA)
Entity type:Individual
Prefix:
First Name:ERNEST
Middle Name:
Last Name:WHEELER
Suffix:
Gender:M
Credentials:PA
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Other - Last Name:
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Mailing Address - Street 1:7703 FLOYD CURL DR
Mailing Address - Street 2:UTHSCSA DEPT OF SURGERY, MC7740
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3901
Mailing Address - Country:US
Mailing Address - Phone:210-743-4130
Mailing Address - Fax:210-702-6292
Practice Address - Street 1:4502 MEDICAL DR
Practice Address - Street 2:UHS TRAUMA SURGERY
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4402
Practice Address - Country:US
Practice Address - Phone:210-358-2078
Practice Address - Fax:210-358-1972
Is Sole Proprietor?:No
Enumeration Date:2014-08-22
Last Update Date:2024-05-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXPA09162363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX339635002OtherCSHCN
TX339635001Medicaid
TX339635002OtherCSHCN