Plano Wellness Medical PLLC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

Legal business name

PLANO WELLNESS MEDICAL PLLC

Practice address

3060 Communications Pkwy Ste 105
Plano, TX 75093-8464

Phone

(972) 535-8000

NPI assigned

Jun 14, 2018

Last updated

Sep 1, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marlene Diaz, MDNPI 1427166644

Title

Owner

Phone

(972) 535-8000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marlene Diaz, M.D.

  • Gynecology Physician
  • Plano, TX
  • NPI 1427166644
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1033603907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 COMMUNICATIONS PKWY STE 105",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938464",
            "telephone_number": "972-535-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 COMMUNICATIONS PKWY STE 105",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938464",
            "telephone_number": "972-535-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANO WELLNESS MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-14",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "MARLENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-535-8000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Plano Vision PLLC
• Plano Wellness, PLLC
• Plano Windhaven Dentistry (Bellingham Family Dentistry)
• Plano Womens Healthcare
• Plano-Dbe, LTD
• Planotop,Inc (Plano Top Dental)

• Gynecology Physician in Plano, TX
• Providers in Plano, TX by specialty
• Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.