| Doctor Name: | CHARLA GAY WILHELM |
| NPI Number: | 1013066877 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N. |
| License Number: | 585061 |
| Business Practice Address: | 117 Medical Dr Ste 4 Victoria, TX - 779043114 |
| Business Phone Number: | 3615750681 |
| Business Fax Number: | 3615750100 |
| Mailing Address: | 117 Medical Dr Ste 4, VICTORIA |
| State: | TX |
| Postal Code: | 779043114 |
| Phone Number: | 3615750681 |
| Fax Number: | 3615750100 |
| NPI Enumeration Date: | 01/10/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC0400X |
| License Number: | 585061 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Case Management |
| Taxonomy Definition: | |