Individual
CHANCE WAYNE DINGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
90 PARK RD, NOCONA, TX 76255-3600
(940) 825-3333
(940) 825-3052
Mailing address
PO BOX 30, NOCONA, TX 76255-0030
(940) 825-3333
(940) 825-3052
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K0286
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00D971
BCBS
TX
01
—
453876
MEDICARE PART A GROUP
TX
01
—
89120X
BCBS
TX
Enumeration date
12/06/2006
Last updated
02/21/2024
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