Organization 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
Registry record updated Nov 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
007155 Issued in TX
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
007155OtherTXWORKERS COMPENSATION
HH1531OtherTXBLUE CROSS BLUE SHIELD

Other names 1

  • Plastic and Cosmetic Surgery Center of Texas Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.