Liesl Shockley Grenier (NPI# 1003139718, PAC ID# 9739419185) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1003139718 |
| PAC ID by PECOS | 9739419185 |
| Professional Enrollment ID | I20190926002975 |
| Full Name | Liesl Shockley Grenier |
| Organization Legal Name | EPIPHANY DERMATOLOGY PA |
| Address |
1323 E Franklin St Suite 103 Hillsboro TX 76645-2679 |
| Phone Number | 2545371265 |
| Gender | F |
| Medical School | UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES |
| Graduation Year | 2010 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 3971827791 |
| Number of Group Practice Members | 36 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1323 E Franklin St, Suite 103, Hillsboro, TX 76645-2679 | 2545371265 | EPIPHANY DERMATOLOGY PA |
| 7106 New Sanger Rd, Waco, TX 76712-3928 | 2545371265 | EPIPHANY DERMATOLOGY PA |
| Organization Legal Name | EPIPHANY DERMATOLOGY PA |
| Physicians | 38 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sheevam Shah | Dermatology | Epiphany Dermatology Pa | 2405 S Clear Creek Rd, Epiphany Dermatology of Killeen, Killeen, TX 76549-5775 |
| Huayi Zhang | Dermatology | Epiphany Dermatology Pa | 9191 Kyser Way Bldg, 3 Suite B, Frisco, TX 75033-1902 |
| Cheryl Noelani Sundlov | Physician Assistant | Epiphany Dermatology Pa | 12469 Timberland Blvd, Suite 501, Fort Worth, TX 76244-5216 |
| Victoria A Meraz | Physician Assistant | Epiphany Dermatology Pa | 7106 New Sanger Rd, Waco, TX 76712-3928 |
| Wesley Bull | Physician Assistant | Epiphany Dermatology Pa | 195 River N Boulevard, Stephenville, TX 76401-1804 |
| Andrea L Mclin | Physician Assistant | Epiphany Dermatology Pa | 204 Wj Boaz Rd, Suite 200, Saginaw, TX 76179-4396 |
| Regan L Hurt | Physician Assistant | Epiphany Dermatology Pa | 911 Lamar Ave, Paris, TX 75460-4681 |
| Adrian Matthew Guevara | Dermatology | Epiphany Dermatology Pa | 7106 New Sanger Rd, Waco, TX 76712-3928 |
| Nancy M Chung | Dermatology | Epiphany Dermatology Pa | 215 S Denton Tap Rd, Suite 170, Coppell, TX 75019-5066 |
| Lucy Li | Dermatology | Epiphany Dermatology Pa | 215 S Denton Tap Rd, Suite 170, Coppell, TX 75019-5066 |
| Street Address |
1323 E FRANKLIN ST SUITE 103 |
| City | HILLSBORO |
| State | TX |
| Zip | 76645-2679 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremiah B Seely | Family Medicine | Providence Health Alliance | 1323 E Franklin St, 105 Providence Fam Hlth Clin, Hillsboro, TX 76645-2679 |
| Wesley C Marshall | Family Medicine | Providence Health Alliance | 1323 E Franklin St, 105 Providence Fam Hlth Clin, Hillsboro, TX 76645-2679 |
| Jason Bauerschlag | Family Medicine | Providence Health Alliance | 1323 E Franklin St, 105 Providence Fam Hlth Clin, Hillsboro, TX 76645-2679 |
| Kimberly A Thornhill | Nurse Practitioner | Providence Health Alliance | 1323 E Franklin St, 105 Providence Fam Hlth Clin, Hillsboro, TX 76645-2679 |
| James Earhart | Family Medicine | Providence Health Alliance | 1323 E Franklin St, 105 Providence Fam Hlth Clin, Hillsboro, TX 76645-2679 |
| Sarah Nicole Urban | Nurse Practitioner | Providence Health Alliance | 1323 E Franklin St, 105 Providence Fam Hlth Clin, Hillsboro, TX 76645-2679 |
| Christopher W Teague | Family Medicine | Providence Health Alliance | 1323 E Franklin St, 105 Providence Fam Hlth Clin, Hillsboro, TX 76645-2679 |
| Rebeka R Calhoun | Nurse Practitioner | Providence Health Alliance | 1323 E Franklin St, 105 Providence Fam Hlth Clin, Hillsboro, TX 76645-2679 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amie L Cheek | Clinical Social Worker | 105 N Pleasant St, Hillsboro, TX 76645-2149 | |
| Michael S Johnson | Chiropractic | 211 E Franklin St, Suite C, Hillsboro, TX 76645-2182 | |
| Gary L Pritchett | Chiropractic | 1313 E Franklin St, Hillsboro, TX 76645-2621 | |
| Cynthia M Kurtz | Podiatry | Peter E Cornell, Dpm PC | 1311 E Franklin, Hillsboro, TX 76645-2621 |
| Brian J Risinger | Diagnostic Radiology | 1321 E Franklin St, Hillsboro, TX 76645-2621 | |
| Peter E Cornell | Podiatry | Peter E Cornell, Dpm PC | 1311 E Franklin, Hillsboro, TX 76645-2621 |
| Adam M Falcone | Cardiovascular Disease (cardiology) | Waco Cardiology Associates | 1321 E Franklin St, Hillsboro, TX 76645-2621 |
| Chandra L Montgomery | Nurse Practitioner | 1302 E Elm St, Hillsboro, TX 76645-2646 | |
| Stephen F Parker | Certified Registered Nurse Anesthetist (crna) | Nhci of Hillsboro Inc | 101 Circle Dr, Hillsboro, TX 76645-2670 |
| Nancy Jane Shaffer | Certified Registered Nurse Anesthetist (crna) | Nhci of Hillsboro Inc | 101 Circle Dr, Hillsboro, TX 76645-2670 |
| Find all physicians in zip 76645 | |||
| City | HILLSBORO |
| Zip Code | 76645 |
| Specialty | DERMATOLOGY |
| City + Specialty | HILLSBORO + DERMATOLOGY |
Please comment or provide details below to improve the information on Liesl Shockley Grenier.
| 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.