Courtney Ann Bunker, MS, RDN, LD | |
19 Grace Wood Ln, Canyon, TX 79015-1797 | |
(806) 240-1575 | |
Not Available |
Full Name | Courtney Ann Bunker |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 19 Grace Wood Ln, Canyon, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689380388 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | DT88086 (Texas) | Primary |
Provider Name | Bok Enterprises Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1538725676 PECOS PAC ID: 9638556145 Enrollment ID: O20220520002342 |
Mailing Address | Practice Location Address |
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Courtney Ann Bunker, MS, RDN, LD 19 Grace Wood Ln, Canyon, TX 79015-1797 Ph: (806) 240-1575 | Courtney Ann Bunker, MS, RDN, LD 19 Grace Wood Ln, Canyon, TX 79015-1797 Ph: (806) 240-1575 |
Gordon Rowan Thomas, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2102 6th Ave, Canyon, TX 79015 Phone: 806-382-4460 | |
Bok Enterprises Llc Dietitian Medicare: Medicare Enrolled Practice Location: 1420 4th Ave Ste 30, Canyon, TX 79015 Phone: 806-656-5055 | |
Jennifer Leheska, PHD, RD, LD Dietitian Medicare: Medicare Enrolled Practice Location: 1420 4th Ave Ste 30, Canyon, TX 79015 Phone: 806-656-5055 |