Active NPI
Robert D. Wilcox MD PA
Doing business as Plastic and Cosmetic Surgery Center of Texas
- Ambulatory Surgical Clinic/Center
- Plano, TX
National Provider Identifier
1609932557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 007155
- Legal business name
- ROBERT D. WILCOX MD PA
- Doing business as
- Plastic and Cosmetic Surgery Center of Texas
- Practice address
- 5316 West Plano Parkway
Plano, TX 75093-4821 - Phone
- (972) 620-1700
- Fax
- (972) 248-2333
- NPI assigned
- Dec 28, 2006
- Last updated
- Nov 5, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Laura K. Tibbles
- Title
- Billing
- Phone
- (972) 620-1700
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 007155 | TX | Primary |
| Multi-Specialty Clinic/Center | 261QM1300X | 007155 | TX |
Addresses
Primary practice location
5316 West Plano Parkway
Plano, TX 75093-4821
Mailing address
5316 West Plano Parkway
Plano, TX 75093-4821
Phone (972) 620-1700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007155 | Other | TX | WORKERS COMPENSATION |
| HH1531 | Other | TX | BLUE CROSS BLUE SHIELD |
Other names 1
- Plastic and Cosmetic Surgery Center of Texas
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1383609600000",
"number": "1609932557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5316 WEST PLANO PARKWAY",
"city": "PLANO",
"state": "TX",
"postal_code": "750934821",
"telephone_number": "972-620-1700",
"fax_number": "972-248-2333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5316 WEST PLANO PARKWAY",
"city": "PLANO",
"state": "TX",
"postal_code": "750934821",
"telephone_number": "972-620-1700",
"fax_number": "972-248-2333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT D. WILCOX MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-28",
"last_updated": "2013-11-05",
"status": "A",
"authorized_official_last_name": "TIBBLES",
"authorized_official_first_name": "LAURA",
"authorized_official_middle_name": "K.",
"authorized_official_title_or_position": "BILLING",
"authorized_official_telephone_number": "972-620-1700",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "TX",
"license": "007155",
"primary": true
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "TX",
"license": "007155",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMPENSATION",
"identifier": "007155",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "HH1531",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Plastic and Cosmetic Surgery Center of Texas",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.