Individual provider · Type 1 NPI

Breck James Wheelock, PA-C

Surgical Physician Assistant · Richardson, TX

NPI number 1174879159 Active

Practice location

1202 E Arapaho Rd Ste 122
Richardson, TX 75081-2400

Fax (469) 250-7068

Mailing address

3104 Rockbrook Dr
Plano, TX 75074-4625

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA11268 (TX)

Surgical Physician Assistant: Definition to come...

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About NPI 1174879159

Breck James Wheelock, PA-C's National Provider Identifier is 1174879159, issued on Jul 27, 2012. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Richardson, TX. The record was last updated on Dec 12, 2018.