Organization
PHYSICIANS MEDICAL CENTER, LLC
Active
Other names
Texas Health Center for Diagnostics and Surgery Plano
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY ROBERTSON (PRESIDENT)
(972) 403-2791
Entity
Organization
Contact information
Practice address
6020 W PARKER RD, PLANO, TX 75093-8171
(972) 403-2700
(972) 403-2852
Mailing address
PO BOX 676266, DALLAS, TX 75267-6266
(972) 419-6704
(972) 419-8188
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
008153
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174662001
—
TX
01
—
HH1070
BCBS PROVIDER NUMBER
TX
Enumeration date
09/22/2005
Last updated
11/03/2021
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