Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Willow Bend Family Medicine PA

Organization Family Medicine Physician · NPI 1053512400

Willow Bend Family Medicine PA is a Family Medicine Physician in Plano, Texas. Licensed in Texas. Registered with an NPI since 2007.

Licensed in
TX
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6124 W Parker Rd Ste 138
Plano, TX 75093-8124
Phone: (972) 981-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence H2316 (TX)

Record details

NPI number1053512400
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dawn Or Thao Perkins Or Tong — Billing Office · (972) 981-7000
NPI enumeratedMay 31, 2007
Last updated in NPPESSeptember 2, 2008
Mailing address6124 W Parker Rd Ste 138, Plano, TX 75093-8124

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