| Bok Enterprises Llc | |
|
1420 4th Ave Ste 30, Canyon, TX 79015-3700 | |
| (806) 656-5055 | |
| Not Available |
| Full Name | Bok Enterprises Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 1420 4th Ave Ste 30, Canyon, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538725676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Jennifer Leheska |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1720398555 PECOS PAC ID: 3971776592 Enrollment ID: I20111027000033 |
| Provider Name | Courtney Ann Bunker |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1689380388 PECOS PAC ID: 5597115659 Enrollment ID: I20240102002362 |
| Mailing Address | Practice Location Address |
|---|---|
| Bok Enterprises Llc 1420 4th Ave Ste 30, Canyon, TX 79015-3700 Ph: (806) 656-5055 | Bok Enterprises Llc 1420 4th Ave Ste 30, Canyon, TX 79015-3700 Ph: (806) 656-5055 |
Gordon Rowan Thomas, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2102 6th Ave, Canyon, TX 79015 Phone: 806-382-4460 | |
Courtney Ann Bunker, MS, RDN, LD Dietitian Medicare: Medicare Enrolled Practice Location: 19 Grace Wood Ln, Canyon, TX 79015 Phone: 806-240-1575 | |
Jennifer Leheska, PHD, RD, LD Dietitian Medicare: Medicare Enrolled Practice Location: 1420 4th Ave Ste 30, Canyon, TX 79015 Phone: 806-656-5055 |