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WILLOW BEND FAMILY MEDICINE P.A.
NPI 1053512400
Family Medicine in Plano, TX

Active since May 31, 2007CLIA 45D0920644 · Waiver
6124 W PARKER RD STE 138, PLANO, TX 75093(972) 981-7000 Get Directions Write a Review

NPPES record last updated: September 2, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Willow Bend Family Medicine P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLOW BEND FAMILY MEDICINE P.A. (NPI 1053512400) is a healthcare organization registered as a family medicine in Plano, Texas and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through February 26, 2028 and lists Dawn Or Thao Perkins Or Tong, Billing Office, as its authorized official.

NPPES Registry Identity

NPI1053512400
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWILLOW BEND FAMILY MEDICINE P.A.
Location Address6124 W PARKER RD STE 138Plano, TX 75093-8124
Mailing Address6124 W Parker Rd Ste 138Plano, TX 75093-8124 · (972) 981-7000
Phone(972) 981-7000
Organization SubpartNo
Authorized OfficialDawn Or Thao Perkins Or TongBilling Office · (972) 981-7000
Enumeration DateMay 31, 2007
Last NPPES UpdateSeptember 2, 2008
✔ NPI 1053512400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · H2316
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6124 W PARKER RD STE 138, Plano, TX 75093
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Other Identifiers 1

Other00478NTX · Medicare Ptin

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0920644

Willow Bend Family Medicine PA · Plano, TX
Active · expires Feb 26, 2028
CLIA Number45D0920644
Laboratory TypePhysician Office
Certificate Effective DateFebruary 27, 2026
Certificate Expiration DateFebruary 26, 2028
Laboratory DirectorRobert A. Cook
Laboratory Phone(972) 981-7000
Laboratory LocationWillow Bend Family Medicine PA6124 West Parker Road Ste 138 Medical Office Building 3, Plano, TX 75093
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. WILLIAM ANTHONY CALLEY JR. MD
Family Medicine
6124 W PARKER RD STE 138
PLANO, TX 75093
Collin County (972) 981-7000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Willow Bend Family Medicine P.A.'s NPI number?

The NPI number for Willow Bend Family Medicine P.A. is 1053512400. It was assigned to this organization in the NPPES registry on May 31, 2007.

Where is Willow Bend Family Medicine P.A. located?

Willow Bend Family Medicine P.A. is located at 6124 W Parker Rd Ste 138, Plano, TX 75093. The listed phone number is (972) 981-7000.

What is Willow Bend Family Medicine P.A.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Willow Bend Family Medicine P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0920644) is associated with this NPI, valid through February 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Willow Bend Family Medicine P.A. accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Willow Bend Family Medicine P.A. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Willow Bend Family Medicine P.A. was last updated on September 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.