Individual
MR. BRECK JAMES WHEELOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1202 E ARAPAHO RD STE 122, RICHARDSON, TX 75081-2400
(469) 250-4422
(469) 250-7068
Mailing address
3104 ROCKBROOK DR, PLANO, TX 75074-4625
(562) 846-8191
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA11268
TX
Other
Enumeration date
07/27/2012
Last updated
12/12/2018
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