Individual ProviderGisell Gonzalez MancillaRegistered NurseNursing Service ProvidersPractice Address13601 Preston Rd # Swt210w, Dallas, TX 75240-4911(972) 702-0300PECOS EnrollmentBased on the most recent information from CMS, provider Gisell Gonzalez Mancilla does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1629650692Provider TypeIndividualFull NameGonzalez Mancilla, GisellGenderFemaleSole ProprietorNoEnumeration Date4/28/2021Last Updated4/28/2021Contact InformationPractice LocationPractice Address13601 Preston Rd # Swt210w, Dallas, TX 75240-4911Phone(972) 702-0300FaxUnlisted FaxMailing LocationMailing Address13601 Preston Rd # Swt210w, Dallas, TX 75240-4911PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense1030929Texas