Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Willow Bend Family Medicine PA

Organization Family Medicine Physician · NPI 1053512400

Willow Bend Family Medicine PA provides Family Medicine Physician services 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 Not confirmed with CMS for 18 years — call before visiting
Phone: (972) 981-7000
Show map & directions

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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