Rachel Leigh Theriault (NPI# 1780822478, PAC ID# 0648336156) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is MEDICAL ONCOLOGY.
| Nation Provider ID (NPI) | 1780822478 |
| PAC ID by PECOS | 0648336156 |
| Professional Enrollment ID | I20090309000458 |
| Full Name | Rachel Leigh Theriault |
| Organization Legal Name | TEXAS ONCOLOGY PA |
| Address |
500 S Henderson St Suite 200 Fort Worth TX 76104-2154 |
| Phone Number | 8174131500 |
| Gender | F |
| Medical School | BAYLOR COLLEGE OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | MEDICAL ONCOLOGY |
| Group Practice PAC ID | 5395658934 |
| Number of Group Practice Members | 666 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450076 | THE UNIVERSITY OF TEXAS M.D. ANDERSON CANCER CENTER |
| 450135 | TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH |
| 450137 | BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER FORT WORTH |
| Address | Phone | Organization |
|---|---|---|
| 500 S Henderson St, Suite 200, Fort Worth, TX 76104-2154 | 8174131500 | TEXAS ONCOLOGY PA |
| 13900 Katy Fwy, Houston, TX 77079-1012 | 7135639600 | PHYSICIANS REFERRAL SERVICE |
| Organization Legal Name | TEXAS ONCOLOGY PA |
| Physicians | 695 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anna M Priebe | Gynecological Oncology | Texas Oncology Pa | 1400 N 4th St, Longview, TX 75601-4756 |
| Naveed R. Cheema | Internal Medicine | Texas Oncology Pa | 4700 N Galloway Ave, Mesquite, TX 75150-1516 |
| Chandana Kakani | Hematology/oncology | Texas Oncology Pa | 4352 N Josey Ln, Carrollton, TX 75010-4602 |
| Heather Scott Pulaski | Gynecological Oncology | Texas Oncology Pa | 18955 N Memorial Dr, Suite 430, Humble, TX 77338-4264 |
| Leslie Nicole Gutierrez | Nurse Practitioner | Texas Oncology Pa | 925 Gessner Rd, Suite 310, Houston, TX 77024-2546 |
| Azmina Patel | Internal Medicine | Texas Oncology Pa | 5012 Us Hwy 75, Suite 170, Denison, TX 75020-4593 |
| Leighanna Ounanian | Nurse Practitioner | Texas Oncology Pa | 1631 Lancaster Dr, Suite 150, Grapevine, TX 76051-3586 |
| Ananth Kumar Arjunan | Internal Medicine | Texas Oncology Pa | 7848 Gateway Blvd E, El Paso, TX 79915-1815 |
| Nikita Mukesh Shah | General Surgery | Texas Oncology Pa | 501 W Medical Ctr Blvd, Webster, TX 77598-4219 |
| Charles Vincent Kurkul | Internal Medicine | Texas Oncology Pa | 3720 S I 35, Denton, TX 76210-6857 |
| Street Address |
500 S HENDERSON ST SUITE 200 |
| City | FORT WORTH |
| State | TX |
| Zip | 76104-2154 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jerry Lee Barker Jr. | Radiation Oncology | Texas Oncology Pa | 500 S Henderson St, Suite 100, Fort Worth, TX 76104-2154 |
| Sanjay Philip Oommen | Hematology/oncology | Texas Oncology Pa | 500 S Henderson St, Suite 200, Fort Worth, TX 76104-2154 |
| Vinh Quang Trang | Hematology/oncology | Texas Oncology Pa | 500 S Henderson St, Suite 200, Fort Worth, TX 76104-2154 |
| Asad Dean | Hematology/oncology | Texas Oncology Pa | 500 S Henderson St, Suite 200, Fort Worth, TX 76104-2154 |
| Debra Kay Gillett | Nurse Practitioner | Texas Oncology Pa | 500 S Henderson St, Suite 200, Fort Worth, TX 76104-2154 |
| Harris Vezhappilly Kunjali Naina | Hematology/oncology | Texas Oncology Pa | 500 S Henderson St, Suite 200, Fort Worth, TX 76104-2154 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven E Prouty | Psychologist, Clinical | Deer Oaks Geriatric Services P C | 424 S Adams, Fort Worth, TX 76104-1003 |
| Ginna K Kaplan | Clinical Social Worker | Deer Oaks Geriatric Services P C | 424 S Adams, Fort Worth, TX 76104-1003 |
| Prashanthi J Giridhar | Ophthalmology | Pediatric Eye Specialists LLP | 321 S Henderson St, Fort Worth, TX 76104-1016 |
| Bowlva Michael Lee | Pain Management | Institute of Spine and Pain Solutions Pllc | 416 S Henderson St, Fort Worth, TX 76104-1017 |
| Travis A Foster | Vascular Surgery | 412 S Henderson St, Fort Worth, TX 76104-1017 | |
| Joseph Elvis Guinn | Vascular Surgery | 412 S Henderson St, Fort Worth, TX 76104-1017 | |
| Bryan J Skulpoonkitti | Anesthesiology | Institute of Spine and Pain Solutions Pllc | 416 S Henderson St, Fort Worth, TX 76104-1017 |
| Jonathan D Riddle | Certified Registered Nurse Anesthetist (crna) | 412 S Henderson St, Fort Worth Vascular Surgical, Fort Worth, TX 76104-1017 | |
| Karim M Meghani | Physical Medicine and Rehabilitation | 425 Alabama Ave, Fort Worth, TX 76104-1022 | |
| Catherine A Colquitt | Infectious Disease | 425 Alabama Ave, Fort Worth, TX 76104-1022 | |
| Find all physicians in zip 76104 | |||
| City | FORT WORTH |
| Zip Code | 76104 |
| Specialty | MEDICAL ONCOLOGY |
| City + Specialty | FORT WORTH + MEDICAL ONCOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.