WHEELOCK SURGICAL ASSIST PLLC


Address: 3104 Rockbrook Dr, Plano, TX 75074-4625
Phone: 5628468191

WHEELOCK SURGICAL ASSIST PLLC (NPI# 1396223905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396223905
Entity Type Organization
Organization Name WHEELOCK SURGICAL ASSIST PLLC
Practice Address 3104 Rockbrook Dr
Plano
TX 75074-4625
Practice Telephone 5628468191
Mailing Telephone 5628468191
Enumeration Date 2018-08-06
Last Update Date 2018-08-06
Authorized Official Name BRECK WHEELOCK (MANAGER)
Authorized Official Telephone 5628468191
Authorized Official Credential PA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA11268 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3104 ROCKBROOK DR
City PLANO
State TX
Zip Code 75074-4625

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1568948834 Sarah Lindsey Binion Counselor 101 East Park Blvd., Suite 600, Plano, TX 75074 2018-07-19
1659865327 Tim Ford Technician, Other 6829 Ave K, Suite 105, Plano, TX 75074 2018-06-18
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477169522 Priority Assist Pllc Physician Assistant 48 Glenda Ln, Plano, IL 60545-9652 2020-09-23
1023512282 Pas Services Pllc Physician Assistant 2805 Dallas Pkwy Ste 640, Plano, TX 75093-8724 2018-03-22
1235658717 Devyn Lambell Physician Assistant 7000 W Plano Pkwy Ste 200, Plano, TX 75093-8490 2017-09-15
1932507746 Nspa of Texas, LLC Physician Assistant 5701 Lois Ln, Plano, TX 75024-5840 2014-12-10
1073740080 Gabriel Ray Schlebach Physician Assistant 3901 W. 15th, Plano, TX 75070-5169 2009-06-17
1053462978 Michael T. Timm Physician Assistant 1504 Huron Trl, Plano, TX 75075-6824 2007-01-16
1063475903 Devin Keith Mccoy Physician Assistant 1600 Coit Rd Ste 104, Plano, TX 75075 2006-04-11
1609837871 Samantha Parnell Physician Assistant 2313 Parkhaven Dr, Plano, TX 75075-2014 2006-03-29
1114534484 David Timothy Morris Physician Assistant 5228 W Plano Pkwy, Plano, TX 75093-5005 2020-09-30
1245870393 Surgical Pa LLC Physician Assistant 5880 Ashmill Dr Ste 200, Plano, TX 75024-0031 2020-01-07
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Competitor

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City PLANO
Zip Code 75074

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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