Justin Wylie Wray (NPI# 1407116163, PAC ID# 6204064173) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RADIATION ONCOLOGY.
Nation Provider ID (NPI) | 1407116163 |
PAC ID by PECOS | 6204064173 |
Professional Enrollment ID | I20170724000046 |
Full Name | Justin Wylie Wray |
Organization Legal Name | TEXAS ONCOLOGY PA |
Address |
1700 W Hwy 6 Waco TX 76712-2452 |
Phone Number | 2543990741 |
Gender | M |
Medical School | UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE |
Graduation Year | 2007 |
Primary Specialty | RADIATION ONCOLOGY |
Group Practice PAC ID | 5395658934 |
Number of Group Practice Members | 666 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
450042 | PROVIDENCE HEALTH CENTER |
Address | Phone | Organization |
---|---|---|
1700 W Hwy 6, Waco, TX 76712-2452 | 2543990741 | TEXAS ONCOLOGY PA |
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 |
1700 W HWY 6 |
City | WACO |
State | TX |
Zip | 76712-2452 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lute George Oas | Radiation Oncology | Texas Oncology Pa | 1700 W Hwy 6, Waco, TX 76712-2452 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ntiense Covey | Clinical Social Worker | 200 W Hwy 6, Suite 217, Waco, TX 76712 | |
Todd Moffatt | General Surgery | 1000 W Hwy 6, Suite 410, Waco, TX 76712 | |
Eric F Oneill | Plastic and Reconstructive Surgery | 1000 W Hwy 6, Suite 500, Waco, TX 76712 | |
David J Schickner | Neurosurgery | David J. Schickner, M.d., P.a. | 6901 Medical Pkwy, Waco, TX 76712-2589 |
Charles W Guy | Plastic and Reconstructive Surgery | 101 Burnett Ct, Suite B, Waco, TX 76712-3100 | |
Mark A Antonacci | Emergency Medicine | Premier Physicians - II Pa | 9110 Jordan Ln, Suite 200, Woodway, TX 76712-3369 |
Nina Wilson | Nurse Practitioner | Premier Physicians - II Pa | 9110 Jordan Ln, Suite 200, Woodway, TX 76712-3369 |
Travis Gene Volcik | Nurse Practitioner | Premier Physicians - II Pa | 9110 Jordan Ln, Suite 200, Woodway, TX 76712-3369 |
Robert M Barnwell | Emergency Medicine | Premier Physicians - II Pa | 9110 Jordan Ln, Suite 200, Woodway, TX 76712-3369 |
Stephen M Paulson | Emergency Medicine | Premier Physicians - II Pa | 9110 Jordan Ln, Suite 200, Woodway, TX 76712-3369 |
Find all physicians in zip 76712 |
City | WACO |
Zip Code | 76712 |
Specialty | RADIATION ONCOLOGY |
City + Specialty | WACO + RADIATION ONCOLOGY |
Please comment or provide details below to improve the information on Justin Wylie Wray.
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.