Organization Active NPI

Plano Wellness, PLLC

  • Gynecology Physician
  • Plano, TX
National Provider Identifier
1710425897
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
J1971 Issued in TX
Legal business name
PLANO WELLNESS, PLLC
Practice address
3060 Communications Pkwy
#105
Plano, TX 75093-8449
Phone
(972) 535-8000
NPI assigned
Feb 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Authorized official

Name
Marlene Diaz, MD
Title
Managing Member
Phone
(972) 535-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X J1971 TX Primary

Addresses

Primary practice location

3060 Communications Pkwy
#105
Plano, TX 75093-8449

Mailing address

3060 Communications Pkwy
#105
Plano, TX 75093-8449
Phone (972) 535-8000

National Provider Directory

National Provider Directory

Locations

3060 Communications Pkwy
Ste 105
Plano, TX 75093
Phone (972) 394-8182

NPI Registry JSON

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

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1710425897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 COMMUNICATIONS PKWY",
            "address_2": "#105",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938449",
            "telephone_number": "972-535-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 COMMUNICATIONS PKWY",
            "address_2": "#105",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938449",
            "telephone_number": "972-535-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANO WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-08",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "MARLENE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "972-535-8000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TX",
            "license": "J1971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 1, 2022; 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.