Individual
DR. JOE BOYD BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 CORPORATE CIR STE 7, SOUTHLAKE, TX 76092-5954
(417) 761-5006
(417) 761-5065
Mailing address
1500 CORPORATE CIR STE 7, SOUTHLAKE, TX 76092-5954
(817) 677-0449
(817) 677-0449
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2018032430
MO
2084P0804X
Child & Adolescent Psychiatry Physician
D7911
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200059302
—
MO
Enumeration date
10/10/2006
Last updated
01/13/2022
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