Individual provider Active NPI

Theresa Conyac, M.D.

  • Obstetrics & Gynecology Physician
  • Rockwall, TX
National Provider Identifier
1598965188
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
P8875 Issued in TX
Practice address
6705 Heritage Parkway
Suite 102
Rockwall, TX 75087-8749
Phone
(972) 722-2526
Fax
(972) 722-2528
NPI assigned
Jul 20, 2007
Last updated
Aug 28, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X P8875 TX Primary

Addresses

Primary practice location

6705 Heritage Parkway
Suite 102
Rockwall, TX 75087-8749

Mailing address

6705 Heritage Parkway
Suite 102
Rockwall, TX 75087-8749
Phone (972) 722-2526

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140430000578 TX Practitioner - Obstetrics/Gynecology 9335372234 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Texas Holdings, P.a. Obstetrics & Gynecology CurrentSince Feb 1, 2017 Accepting new patients
Randall Burt MD PA Current Accepting new patients
Theresa M. Conyac MD PLLC Obstetrics & Gynecology CurrentSince Sep 1, 2019 Accepting new patients
Dudley D Baker IV and Marlon D White MD PA. Obstetrics & Gynecology Current Accepting new patients
Steven R. Macdonald, M.D., P.a. Current Accepting new patients
Pediatrix Medical Group of Texas Billing, Inc. Obstetrics & Gynecology CurrentSince Oct 24, 2024 Accepting new patients
Unified Women's Healthcare of Texas PLLC Obstetrics & Gynecology CurrentSince Oct 1, 2016 Accepting new patients
Lake Pointe Operating Company, LLC PastSince Sep 1, 2019 Accepting new patients

Locations

1001 N Waldrop Dr
Ste 505
Arlington, TX 76012
Phone (817) 277-9415

800 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 548-6100

1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (361) 985-5000

3500 Gaston Ave
Dallas, TX 75246

3801 Gaston Ave
Ste 200
Dallas, TX 75246
Phone (214) 821-8055

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

13215 Dotson Rd
Ste 200
Houston, TX 77070
Phone (281) 444-3440

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

6124 W Parker Rd
Ste 134
Plano, TX 75093
Phone (972) 981-7777

6617 Heritage Pkwy
Ste 100
Rockwall, TX 75087
Phone (972) 475-3030

6705 Heritage Pkwy
Ste 102
Rockwall, TX 75087
Phone (972) 722-2526

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17269/brand/1/csg/1/fhir/r4
  • Direct secure messaging: theresa.conyac.1@17269.direct.athenahealth.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1598965188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6705 HERITAGE PARKWAY",
            "address_2": "SUITE 102",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750878749",
            "telephone_number": "972-722-2526",
            "fax_number": "972-722-2528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6705 HERITAGE PARKWAY",
            "address_2": "SUITE 102",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750878749",
            "telephone_number": "972-722-2526",
            "fax_number": "972-722-2528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONYAC",
        "first_name": "THERESA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-20",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "P8875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

Verify at the official NPI Registry.