| Kathryn Thibault, RD, LD | |
|
4200 W University Dr, Prosper, TX 75078-9805 | |
| (682) 303-4200 | |
| (682) 303-4242 |
| Full Name | Kathryn Thibault |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 4200 W University Dr, Prosper, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457171829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | DT89038 (Texas) | Primary |
| Provider Name | Cook Childrens Physician Network |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1750369203 PECOS PAC ID: 7719884584 Enrollment ID: O20040128000800 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathryn Thibault, RD, LD Po Box 733784, Dallas, TX 75373-3784 Ph: (682) 885-6483 | Kathryn Thibault, RD, LD 4200 W University Dr, Prosper, TX 75078-9805 Ph: (682) 303-4200 |
Stasha Kucel, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 920 Whistler Ln, Prosper, TX 75078 Phone: 214-326-2158 |
Carly Lewis, M.S., R.D., L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4200 W University Dr, Prosper, TX 75078 Phone: 682-303-4200 Fax: 682-303-4242 |
Lucia Rodriguez, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 15805 High Line Dr, Prosper, TX 75078 Phone: 214-783-0615 |
Kelly Vu Nguyen, RDN Dietitian Medicare: May Accept Medicare Assignments Practice Location: 4200 W University Dr, Prosper, TX 75078 Phone: 945-204-4100 |
Charlie Michelle Finch, MS, RDN, LD Dietitian Medicare: May Accept Medicare Assignments Practice Location: 4200 W University Dr, Prosper, TX 75078 Phone: 682-303-4200 Fax: 682-303-4242 |
Maggie Aznavour, MS, RDN, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 130 S Preston Rd Ste 30, Prosper, TX 75078 Phone: 940-222-2399 Fax: 940-228-1298 |
Rama Sada, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4200 W University Dr, Prosper, TX 75078 Phone: 682-303-4200 Fax: 682-303-4242 |