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WILLOWBEND MEDICAL SERVICES PLLC NPI 1073988135


NPI Information

NPI: 1073988135
Provider Name: WILLOWBEND MEDICAL SERVICES PLLC
Classification: Specialist/Technologist, Other - 246ZC0007X
Entity Type: Organization

Specialization: Surgical Assistant

CLIA Number: 45D0920644

Address:
2633 DALLAS PKWY
SUITE 100
PLANO, TX
ZIP 75093
Phone: (972) 403-7733
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WILLOWBEND MEDICAL SERVICES PLLC is a surgical assistant specialist technologist other in Plano, TX. The provider is a surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. WILLOWBEND MEDICAL SERVICES PLLC NPI is 1073988135. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2633 DALLAS PKWY
SUITE 100
PLANO, TX
ZIP 75093-703
Phone: (972) 403-7733

The provider's authorized official is Jeremiah Graff .
The authorized official title is Owner/physician and has the following contact phone number (972) 403-7733.

The CLIA number assigned to this NPI record is 45D0920644 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/1/2015 and was last updated on 2/15/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1246ZC0007XSpecialist/Technologist, OtherSurgical Assistant136983TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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