| Dr Adil Noshir Nicolwala, MD | |
|
1103 Woodson Dr, Caldwell, TX 77836-1052 | |
| (979) 567-7080 | |
| (979) 731-1695 |
| Full Name | Dr Adil Noshir Nicolwala |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 41 Years |
| Location | 1103 Woodson Dr, Caldwell, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922060391 | NPI | - | NPPES |
| 1649265646 | Other | TX | FQHC SITE NPI/BCSCHC |
| 1821185299 | Other | TX | AGENCY NPI |
| 43972102 | Medicaid | TX | |
| 1544678-01 | Other | TX | BCSCHC FQHC SITE MEDICAID NUMBER |
| 80565Y | Other | TX | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | L0879 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Brazos Valley Community Action Agency Inc | 4284542127 | 36 |
| Entity Name | Brazos Valley Community Action Agency Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649265646 PECOS PAC ID: 4284542127 Enrollment ID: O20040708001095 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Adil Noshir Nicolwala, MD 1500 University Dr E, Suite 100, College Station, TX 77840-2600 Ph: (979) 846-1100 | Dr Adil Noshir Nicolwala, MD 1103 Woodson Dr, Caldwell, TX 77836-1052 Ph: (979) 567-7080 |
Dr. John Scott Chennault, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1010 Woodson Dr, Caldwell, TX 77836 Phone: 979-567-4900 Fax: 979-567-4901 | |
Kristel Dawn Leubner, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1103 Woodson Dr, Caldwell, TX 77836 Phone: 979-567-7080 Fax: 979-567-9783 | |
Mr. Del Barker Stigler, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 302 W Highway 21, Caldwell, TX 77836 Phone: 979-567-3287 Fax: 979-567-7821 | |
Kia E Parsi, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1103 Woodson Dr, Caldwell, TX 77836 Phone: 979-567-3245 Fax: 979-567-9783 |