Organization
PEDIATRIC OFFICES AT WILLOW BEND ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHARON LEE WIENER MD (PRESIDENT/OWNER)
(972) 781-1414
Entity
Organization
Contact information
Practice address
6529 W PLANO PKWY STE B, PLANO, TX 75093-8260
(972) 781-1414
(972) 781-1717
Mailing address
6529 W PLANO PKWY STE B, PLANO, TX 75093-8260
(972) 781-1414
(972) 781-1717
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
G8509
TX
Other
Enumeration date
03/17/2014
Last updated
03/17/2014
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