NPIMap

Organization Active NPI

Wfo Group LLC

Doing business as NMBS

  • Surgical Physician Assistant
  • Rowlett, TX
National Provider Identifier
1639592009
Registry record updated Jan 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
WFO GROUP LLC
Doing business as
NMBS
Practice address
1901 Miller Rd
Rowlett, TX 75088-5604
Phone
(214) 227-2457
Fax
(214) 764-0880
NPI assigned
Jan 21, 2014
Last updated
Jan 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2014

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

Authorized official

Name
Alicia N Watson
Title
Co-Owner
Phone
(214) 227-2457

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X Primary
Nurse Practitioner 363L00000X

Addresses

Primary practice location

1901 Miller Rd
Rowlett, TX 75088-5604

Mailing address

1901 Miller Rd
Rowlett, TX 75088-5604
Phone (214) 227-2457

Other names 1

  • NMBS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140626000180 TX Part B Supplier - Clinic/Group Practice 8426210808 Receives reassigned benefits from 30 practitioners
Practice locations: Grapevine, TX; Irving, TX; Frisco, TX; Keller, TX; Lewisville, TX; Mansfield, TX; McKinney, TX; North Richland Hills, TX…

National Provider Directory

National Provider Directory

Locations

1105 Central Expy N
#H
Allen, TX 75013

5500 Frisco Square Blvd
Frisco, TX 75034
Phone (214) 618-0500

100 Bourland Rd
Ste 100
Keller, TX 76248
Phone (817) 379-5100

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

6110 W Parker Rd
Plano, TX 75093
Phone (214) 369-5522

Practitioners & affiliated clinicians

Practitioners 30

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.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1390262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390262400000",
    "number": "1639592009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 MILLER RD",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750885604",
            "telephone_number": "214-227-2457",
            "fax_number": "214-764-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 MILLER RD",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750885604",
            "telephone_number": "214-227-2457",
            "fax_number": "214-764-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WFO GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-21",
        "last_updated": "2014-01-21",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "214-227-2457"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NMBS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rowlett, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; 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.