Thi of Texas at Plano LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

THI OF TEXAS AT PLANO LLC

Doing business as

The Park in Plano

Practice address

3208 Thunderbird LN
Plano, TX 75075-2321

Phone

(972) 422-2214

NPI assigned

Jun 5, 2009

Organization subpart

No

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

Authorized official

Name

John Wilson

Title

President

Phone

(972) 422-2214

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Park in Plano Doing business as

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

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244160000000",
    "number": "1639305550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 RIDGEBROOK RD",
            "city": "SPARKS",
            "state": "MD",
            "postal_code": "211529390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3208 THUNDERBIRD LN",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750752321",
            "telephone_number": "972-422-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THI OF TEXAS AT PLANO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-05",
        "last_updated": "2009-06-05",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-422-2214"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CBA RESPITE ID NUMBER",
            "identifier": "001012236",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Park in Plano",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Thi of Texas at Plano, LLC
• Christina Hope Thibodeaux, PA-C
• Mark David Thieberg, M.D.
• Stefan Peter Thiele, MD
• Matthew Anthony Thieman, PHARMD

• Skilled Nursing Facility in Plano, TX
• Providers in Plano, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2009; 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.