Myriah Willborn, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

P1715 Issued in TX

Practice address

2406 Hunter Rd
Suite 106
San Marcos, TX 78666-5255

Phone

(512) 396-7686

NPI assigned

Nov 22, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: Osteopathic Manipulative Medicine

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shea Physical Therapy Specialists LLCGroup PAC ID 6204245194, 194 clinicians

Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4
• Direct secure messaging: mwillborn245657@christushealth.direct-ci.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Christus Trinity Clinic Texas

  dba Christus Trinity Clinic

  • Family Medicine Physician
  • Tyler, TX
  • NPI 1285684225
  Medicare reassignment Care Compare group NPD
• C H Wilkinson Physician Network

  dba CHRISTUS Physician Group

  • Family Medicine Physician
  • Irving, TX
  • NPI 1457382947
  Medicare reassignment NPD
• Shea Physical Therapy Specialists LLC

  dba Shea Physical Therapy and Hand Therapy Services of Corpus Christi

  • Rehabilitation Clinic/Center
  • Corpus Christi, TX
  • NPI 1427634245
  Care Compare group
• C H Wilkinson Physician Network

  dba CHRISTUS Physician Group

  • Orthopaedic Surgery Physician
  • Corpus Christi, TX
  • NPI 1750826095
  NPD
• Christus Trinity Clinic Texas

  dba Christus Trinity Clinic

  • Rural Health Clinic/Center
  • Winnsboro, TX
  • NPI 1801673165
  NPD
• Citizens Medical Center County of Victoria

  • General Acute Care Hospital
  • Victoria, TX
  • NPI 1124052162
  NPD (past)

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

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1740557552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2406 HUNTER RD",
            "address_2": "SUITE 106",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786665255",
            "telephone_number": "512-396-7686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 HUNTER RD",
            "address_2": "SUITE 106",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786665255",
            "telephone_number": "512-396-7686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5802 Saratoga Blvd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784144254",
            "country_code": "US",
            "telephone_number": "361-986-4600",
            "fax_number": "361-986-4615",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5920 Saratoga Blvd",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784144103",
            "country_code": "US",
            "telephone_number": "361-902-6170",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14725 Compass St",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784186203",
            "country_code": "US",
            "telephone_number": "361-902-6170",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14202 S Padre Island Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784186229",
            "country_code": "US",
            "telephone_number": "361-902-6170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLBORN",
        "first_name": "MYRIAH",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-22",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P1715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCRR",
            "identifier": "P02601790",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "384201502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Carol White, LCSW
• Robert M. White, LCSW
• Paul Whitelock, M.D.
• Josephine Kate Wielinski, RDN
• Joe W Wiggins, D.C.
• Tricia L Willburn, SLP
• William Kern Deschner MD PA Gastroenterology of San Marcos
• Abigail Williams
• Anne Williams, LPC
• Elizabeth Williams

• Family Medicine Physician in San Marcos, TX
• Providers in San Marcos, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.