Pediatric Offices at Willow Bend Association

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

G8509 Issued in TX

Legal business name

PEDIATRIC OFFICES AT WILLOW BEND ASSOCIATION

Practice address

6529 W Plano Pkwy Ste B
Plano, TX 75093-8260

Phone

(972) 781-1414

Fax

(972) 781-1717

NPI assigned

Mar 17, 2014

Last updated

Mar 17, 2014By 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

Dr. Sharon Lee Wiener, MD

Title

President/Owner

Phone

(972) 781-1414

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395014400000",
    "number": "1053737833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6529 W PLANO PKWY STE B",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938260",
            "telephone_number": "972-781-1414",
            "fax_number": "972-781-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6529 W PLANO PKWY STE B",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938260",
            "telephone_number": "972-781-1414",
            "fax_number": "972-781-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC OFFICES AT WILLOW BEND ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-17",
        "last_updated": "2014-03-17",
        "status": "A",
        "authorized_official_last_name": "WIENER",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "972-781-1414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "G8509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Endocrinology of North Texas, PLLC
• Pediatric Hospital Physicians of North Texas, PA
• Pediatric Imaging Associates LLC (Children's Health Imaging Center)
• Pediatric Neuropsychological Services, PLLC
• Pediatric Offices at Willow Bend
• Pediatric Ophthalmology PA
• Pediatric Ophthalmology Partners of Texas PLLC (Pediatric Ophthalmology Partners of Texas)
• Pediatric Sleep Institute
• Pediatric Specialists of Plano
• Pediatric Surgical Associates

• Primary Care Clinic/Center in Plano, TX
• Providers in Plano, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.