Healthcare Provider Details

I. General information

NPI: 1881890986
Provider Name (Legal Business Name): SANDRA ANN GAULKE RN, PEDIATRIC NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2007
Last Update Date: 12/21/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 QUAIL AVE
MCALLEN TX
78504-3268
US

IV. Provider business mailing address

1201 QUAIL AVE
MCALLEN TX
78504-3268
US

V. Phone/Fax

Practice location:
  • Phone: 956-687-8662
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number229619
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: