FAMILY MEDICINE AT WILLOW BEND
NPI 1174726061
Clinic/Center - Health Service in Plano, TX

Active since June 07, 2007
5944 W PARKER RD STE 100, PLANO, TX 75093(972) 608-1868(972) 943-8644 Get Directions Write a Review

NPPES record last updated: August 12, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Family Medicine At Willow Bend NPPES

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

FAMILY MEDICINE AT WILLOW BEND (NPI 1174726061) is a healthcare organization registered as a health service in Plano, Texas and active in the NPI registry since June 2007. The organization lists Tammy Tickle Komenda, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1174726061
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameFAMILY MEDICINE AT WILLOW BEND
Location Address5944 W PARKER RD STE 100Plano, TX 75093-6422
Mailing Address5944 W Parker Rd Ste 100Plano, TX 75093-6422 · (972) 608-1868 · Fax (972) 943-8644
Fax(972) 943-8644
Organization SubpartNo
Authorized OfficialTammy Tickle KomendaOffice Manager · (972) 608-1868
Enumeration DateJune 7, 2007
Last NPPES UpdateAugust 12, 2008
NPI 1174726061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
License Licensed in TX · H6350
5944 W PARKER RD STE 100, Plano, TX 75093

Other Identifiers 6

Medicaid165802301TX
Medicaid65802302TX
Medicare ID-Type Unspecified00964WTX · One Of 2 Medicare #'s
Medicare UPINE21206TX
Medicare ID-Type Unspecified8C0534TX · 2 Of 2 Medicare #'s
Other10018514TX · Amerigroup Provider #

Accepted Insurance

Other Providers at the Same Location NPPES

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

Internal Medicine
5944 W PARKER RD STE 100
PLANO, TX 75093

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 Family Medicine At Willow Bend's NPI number?

The NPI number for Family Medicine At Willow Bend is 1174726061. It was assigned to this organization in the NPPES registry on June 7, 2007.

Where is Family Medicine At Willow Bend located?

Family Medicine At Willow Bend is located at 5944 W Parker Rd Ste 100, Plano, TX 75093. The listed phone number is (972) 608-1868.

What is Family Medicine At Willow Bend's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

What insurance does Family Medicine At Willow Bend accept?

Health plans from Molina Healthcare list Family Medicine At Willow Bend 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 Family Medicine At Willow Bend was last updated on August 12, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.