Theriault, Rachel Leigh
Theriault, Rachel Leigh is an individual health care provider with primary practice located at 500 S Henderson St Ste 200 , Ft Worth TX 76104-2154. She recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as her primary health care specialty. Theriault, Rachel Leigh can be contacted via phone (817) 413-1500.Contact Information
Primary practice address
500 S Henderson St Ste 200
Ft Worth TX 76104-2154
Phone: (817) 413-1500
Fax: (817) 413-1499
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | M7685 | Texas |
Profile Details
| NPI number | 1780822478 |
|---|---|
| LBN Legal business name | Theriault, Rachel Leigh |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 3rd, 2009 |
| Last updated | Oct 7th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780822478 | NPPES |
| Texas | MEDICAID | 200172903 |
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