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Contact Information

CLARENCE J WHEELER III, MD
1126 SLIDE RD
4B
LUBBOCK, TX79416-5402
 Phone: 806-793-8447
 Fax: 806-687-0337
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sleep Medicine

207RS0012X 11 Physician/Internal Medicine
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for CLARENCE J WHEELER III · (Male)

NPI Number 1699776732
Status Active
Credentials MD
Entity Individual
Enumeration date 08/10/2005
Last updated 09/14/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • TX License # F7299
  • NM Medicaid 000G8915
  • TX Medicaid 120521303
  • TX Other 87E200 BC/BS
Hospital affiliation(s)
  • COVENANT MEDICAL CENTER - (Acute Care)
    3615 19TH STREET
    LUBBOCK, TX 79410
  • COVENANT MEDICAL CENTER - (Acute Care)
    3615 19TH STREET
    LUBBOCK, TX 79410
  • LUBBOCK HEART HOSPITAL LP - (Acute Care)
    4810 NORTH LOOP 289
    LUBBOCK, TX 79416
  • LUBBOCK HEART HOSPITAL LP - (Acute Care)
    4810 NORTH LOOP 289
    LUBBOCK, TX 79416
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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