Organization Active NPI

Physicians Medical Center, LLC

  • General Acute Care Hospital
  • Plano, TX
National Provider Identifier
1982809257
Registry record updated Feb 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
PHYSICIANS MEDICAL CENTER, LLC
Practice address
6020 W Parker Rd
Plano, TX 75093-8171
Phone
(972) 403-2791
Fax
(972) 419-8188
NPI assigned
Jun 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2014

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

Authorized official

Name
Mr. Larry Robertson
Title
President
Phone
(972) 403-2791

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X TX Primary

Addresses

Primary practice location

6020 W Parker Rd
Plano, TX 75093-8171

Mailing address

PO Box 676266
Dallas, TX 75267-6266
Phone (972) 419-6704

Other identifiers 2

IdentifierTypeStateIssuer
174662002MedicaidTX
HH1070OtherTXBCBS PROVIDER NUMBER

Other names 1

  • Texas Health Center for Diagnostics and Surgery Plano Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040930000771 TX Part A Provider - Hospital 9234108788 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Plano, TX

Hospital certification: CCN 450891

Legal name
PHYSICIANS MEDICAL CENTER, LLC
Doing business as
TEXAS HEALTH CENTER FOR DIAGNOSTICS & SURGERY PLANO
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Feb 23, 2005
Last certification
May 22, 2025
Beds
18
Ownership / control type
Physician ownership
Organization structure
LLCProprietary
Incorporated
Aug 23, 2005 in TX
Enrollment address
6020 W Parker Rd
Plano, TX 75093-8171
Main/Primary Hospital Location
Hospital subgroups
Other

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Texas Health Center for Diagnostics & Surgery PlanCCN 450891
Type
Acute Care Hospitals
Ownership
Physician
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Texas Health Resources Organization, Arlington, TX Non-profit 5% Or Greater Direct Ownership Interest Dec 31, 2024 55.5%
Operational/Managerial Control Jan 1, 2023
Fraser Hay Individual Corporate DirectorBoard Member Oct 28, 2025
Tbi Holdings, Inc. Organization, Plano, TX Medical provider/supplier 5% Or Greater Direct Ownership Interest Dec 31, 2024 8.67%
Mitchell J Mulvehill Individual Corporate OfficerPresident Thcds Jan 1, 2015
W-2 Managing EmployeePresident Thcds Sep 25, 2023
John E Whitely Individual Corporate DirectorBoard Member Oct 28, 2025
Nicole L Garner Individual Corporate OfficerInterim Chief Nursing Officer Mar 8, 2026
W-2 Managing EmployeeInterim Chief Nursing Officer Mar 9, 2026
Kimberly Nguyen Individual Contracted Managing EmployeeController May 1, 2005
Corporate OfficerController May 1, 2005
Stephen K Hadzima Individual Corporate DirectorBoard Member Oct 28, 2025
Michael E Kubala Individual Corporate DirectorDirector Thcds Board of Managers Aug 1, 2024
Texas Back Institute Surgical Hospital, LLC Organization, Plano, TX Medical provider/supplier 5% Or Greater Direct Ownership Interest Dec 31, 2024 11.36%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 138

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 138

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391731200000",
    "number": "1982809257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 676266",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752676266",
            "telephone_number": "972-419-6704",
            "fax_number": "972-419-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6020 W PARKER RD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938171",
            "telephone_number": "972-403-2791",
            "fax_number": "972-419-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2014-02-07",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-403-2791",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174662002",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "HH1070",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Health Center for Diagnostics and Surgery Plano",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.