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Canon Wheatley

NPI 1104735984 · on the registry since 2026

Practice

Address
2652 Lake Austin Blvd
Austin, TX 78703
Phone
(512) 474-2001
Fax
(737) 610-6383
Organisation at this address
H-E-B Lp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Registry record

Primary taxonomy
183700000X
183700000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-09-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas