Willowbend Neurology, PA

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

G1721 Issued in TX

Legal business name

WILLOWBEND NEUROLOGY, PA

Practice address

4100 W. 15TH Street
Suite 206
Plano, TX 75093-5801

Phone

(972) 473-2700

NPI assigned

May 11, 2009

Organization subpart

No

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

Authorized official

Name

Diana Hill

Title

Billing Administrator

Phone

(972) 473-2700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1242000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242000000000",
    "number": "1700010303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 262656",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750262656",
            "telephone_number": "972-473-2700",
            "fax_number": "972-473-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 W. 15TH STREET",
            "address_2": "SUITE 206",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935801",
            "telephone_number": "972-473-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOWBEND NEUROLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-11",
        "last_updated": "2009-05-11",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "BILLING ADMINISTRATOR",
        "authorized_official_telephone_number": "972-473-2700"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "G1721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Willow Bend OB/GYN, PLLC
• Willow Bend Orthodontics, PLLC (Willow Bend Orthodontics)
• Willow Operations, LLC
• Willowbend Diagnostic Imaging, PLLC (Insight Imaging - Willowbend)
• Willowbend Medical Services PLLC
• Willowbend Vascular Services LLC
• Chayce Wilmore
• Bryan Wilmut, LCDC
• Kelly Grace Wilpitz, MCN, RDN, LD
• Amy Wilson, P.T.

• Neurology Physician in Plano, TX
• Providers in Plano, TX by specialty
• Neurology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.