| Bowie Medical Clinic | |
|
90 Park Rd Nocona TX 76255-3600 | |
| (940) 825-3333 | |
| (940) 825-3052 |
| Full Name | Bowie Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 90 Park Rd, Nocona, Texas |
| Authorized Official Name and Position | Leonard Thomas Dingler (PRESIDENT) |
| Authorized Official Contact | 9408253333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bowie Medical Clinic 90 Park Rd Nocona TX 76255-3600 Ph: (940) 825-3333 | Bowie Medical Clinic 90 Park Rd Nocona TX 76255-3600 Ph: (940) 825-3333 |
| NPI Number | 1750501417 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 02/21/2024 |
| Medicare PECOS PAC ID | 3072661354 |
|---|---|
| Medicare Enrollment ID | O20110209000209 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750501417 | NPI | - | NPPES |
| 00D971 | Other | TX | BCBS |
| 0821407-04 | Medicaid | TX | |
| 0821407-01 | Medicaid | TX | |
| 0821407-02 | Medicaid | TX | |
| 0944720-02 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Chance Wayne Dingler |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1780743898 PECOS PAC ID: 0547237588 Enrollment ID: I20100122000153 |
| Provider Name | George R. West |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811051329 PECOS PAC ID: 6002883048 Enrollment ID: I20110311000774 |
| Provider Name | Leonard T. Dingler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164439352 PECOS PAC ID: 3274500210 Enrollment ID: I20110314000474 |
| Provider Name | William T Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669761078 PECOS PAC ID: 1557581394 Enrollment ID: I20140930001348 |
| Provider Name | Nickolas Rose |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568868867 PECOS PAC ID: 2769708155 Enrollment ID: I20150302001792 |
| Provider Name | Kelly Roden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730538513 PECOS PAC ID: 8820380801 Enrollment ID: I20180806000776 |
| Provider Name | Tyler John Lee Benson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467985671 PECOS PAC ID: 7416373444 Enrollment ID: I20230804001997 |
Ngh Rural Health Clinic Nocona Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 90 Park Rd, Nocona, TX 76255 Phone: 940-825-3333 Fax: 940-825-3052 |