Organization Active NPI

Womens Link Center of Wylie - a Medical Center of Plano Facility, LLC

  • Obstetrics & Gynecology Physician
  • Wylie, TX
National Provider Identifier
1669768487
Registry record updated Aug 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
WOMENS LINK CENTER OF WYLIE - A MEDICAL CENTER OF PLANO FACILITY, LLC
Practice address
901 W Kirby St # 650
Wylie, TX 75098-4915
Phone
(972) 519-1130
Fax
(972) 519-1295
NPI assigned
Jun 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2012

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

Authorized official

Name
Christine Fredric
Title
VP
Phone
(972) 519-1130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

901 W Kirby St # 650
Wylie, TX 75098-4915

Mailing address

901 W Kirby St # 650
Wylie, TX 75098-4915
Phone (972) 519-1130

Other identifiers 1

IdentifierTypeStateIssuer
293313701MedicaidTX

National Provider Directory

National Provider Directory

Locations

901 W Kirby St
#650
Wylie, TX 75098
Phone (972) 265-8212

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346284800000",
    "number": "1669768487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 W KIRBY ST # 650",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750984915",
            "telephone_number": "972-519-1130",
            "fax_number": "972-519-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W KIRBY ST # 650",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750984915",
            "telephone_number": "972-519-1130",
            "fax_number": "972-519-1295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMENS LINK CENTER OF WYLIE - A MEDICAL CENTER OF PLANO FACILITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-20",
        "last_updated": "2012-08-30",
        "status": "A",
        "authorized_official_last_name": "FREDRIC",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "972-519-1130"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "293313701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wylie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; 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.