P Praxis·MD
● Active Type 2 · Organization

Family Medicine At Willow Bend

Clinic/Center·Plano, TX· NPI 1174726061 · Enumerated 2007 · 18 years on NPI
Family Medicine At Willow Bend is 1 of 674 clinic/center organizations in Texas.
NPI age
18 years
Enumerated 2007-06-07
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Komenda
Office Manager
Last NPPES update
2008-08-12
Source: monthly bulk 2026-05

How this organization compares

Across 674 active clinic/center providers in Texas.

NPI age
18 years
↑ 7 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-06Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
5944 W Parker Rd Ste 100
Plano, TX 750936422
📞 9726081868fax 9729438644
Mailing address
5944 W Parker Rd Ste 100
Plano, TX 750936422
📞 9726081868fax 9729438644

Authorized official

Tammy Tickle Komenda
Office Manager
📞 9726081868

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    Definition to come...
    TX license #H6350 taxonomy 261QH0100X

Identifiers

TypeValueNotes
01 (TX) 10018514 AMERIGROUP PROVIDER #
05 (TX) 165802301
05 (TX) 65802302

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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