| Dr Roger N Fowler, MD | |
|
3202 S Main St, Lindale, TX 75771-7727 | |
| (903) 882-0991 | |
| Not Available |
| Full Name | Dr Roger N Fowler |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 3202 S Main St, Lindale, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144294570 | NPI | - | NPPES |
| 136252713 | Medicaid | TX | |
| 752616977028 | Other | TX | TRICARE |
| 136252712 | Medicaid | TX | |
| 138737515 | Medicaid | TX | |
| 8S3318 | Other | TX | BCBS OF TEXAS |
| 136252704 | Medicaid | TX | |
| 75-2616977-066 | Other | TX | TRICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G1009 (Texas) | Primary |
| Entity Name | Christus Trinity Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Roger N Fowler, MD Po Box 846098, Dallas, TX 75284-6098 Ph: (903) 324-6450 | Dr Roger N Fowler, MD 3202 S Main St, Lindale, TX 75771-7727 Ph: (903) 882-0991 |
Dr. Raymond F Jordan, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 103 N Main St, Lindale, TX 75771 Phone: 903-882-3194 Fax: 903-882-7405 | |
Dr. Donna M Hand, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 103 E North St, Lindale, TX 75771 Phone: 903-882-3194 Fax: 903-882-7405 | |
Rodney Kent Van Andel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3203 S Main St, Lindale, TX 75771 Phone: 903-266-4000 Fax: 903-882-7751 | |
Mr. Kenneth Jerome Hamby, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14069 Fm 849, Lindale, TX 75771 Phone: 903-590-5263 Fax: 903-590-5261 | |
Melita Lang Brooks, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3202 S Main St, Lindale, TX 75771 Phone: 903-882-0991 | |
Dr. Jack Wallace Rice, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 20044 Fm 16 W, Lindale, TX 75771 Phone: 903-882-3808 Fax: 903-882-3808 |