Provider Demographics
NPI:1164989778
Name:WHEELOCK, GISELLE E (PA-C)
Entity Type:Individual
Prefix:
First Name:GISELLE
Middle Name:E
Last Name:WHEELOCK
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:DR
Other - First Name:GISELLE
Other - Middle Name:E
Other - Last Name:WHEELOCK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD (FMG)
Mailing Address - Street 1:7512 N CYNTHIA ST
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-1601
Mailing Address - Country:US
Mailing Address - Phone:956-212-0811
Mailing Address - Fax:
Practice Address - Street 1:7512 N CYNTHIA ST
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-1601
Practice Address - Country:US
Practice Address - Phone:956-212-0811
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-01
Last Update Date:2019-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant