Wheeler, Brent W

Wheeler, Brent W is an sole proprietor health care provider with primary practice located at 4940 Broadway St Ste 225 , San Antonio TX 78209-5731. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Wheeler, Brent W can be contacted via phone (254) 624-1233.

Contact Information

Primary practice address
4940 Broadway St Ste 225 San Antonio TX 78209-5731
Phone: (254) 624-1233
Fax: (210) 966-0563
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 15744 Texas

Profile Details

NPI number 1922091388
LBN Legal business name Wheeler, Brent W
Credentials MA, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2005
Last updated Feb 16th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922091388 NPPES
Texas MEDICAID 148226702

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