Healthcare Provider Details

I. General information

NPI: 1689715252
Provider Name (Legal Business Name): PARKHILL PHYSICIAN GROUP, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2007
Last Update Date: 10/25/2023
Certification Date: 10/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7000 W PLANO PKWY STE 100
PLANO TX
75093-8465
US

IV. Provider business mailing address

7000 W PLANO PKWY STE 100
PLANO TX
75093-8465
US

V. Phone/Fax

Practice location:
  • Phone: 469-300-3131
  • Fax: 214-723-7582
Mailing address:
  • Phone: 469-300-3131
  • Fax: 214-723-7582

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: GLEN RAY WYANT
Title or Position: MANAGING PARTNER
Credential: M.D.
Phone: 469-300-3131