Provider Demographics
NPI:1649529280
Name:WHEELER, VILMA AZUCENA (CNIM, REPT)
Entity type:Individual
Prefix:MRS
First Name:VILMA
Middle Name:AZUCENA
Last Name:WHEELER
Suffix:
Gender:F
Credentials:CNIM, REPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22841 COLORADO DR
Mailing Address - Street 2:
Mailing Address - City:PORTER
Mailing Address - State:TX
Mailing Address - Zip Code:77365-3635
Mailing Address - Country:US
Mailing Address - Phone:713-832-3322
Mailing Address - Fax:
Practice Address - Street 1:22841 COLORADO DR
Practice Address - Street 2:
Practice Address - City:PORTER
Practice Address - State:TX
Practice Address - Zip Code:77365-3635
Practice Address - Country:US
Practice Address - Phone:713-832-3322
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-29
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic
No246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other
No2472E0500XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherEEG