Individual
LILY BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
502 MADISON OAK DR STE 310, SAN ANTONIO, TX 78258-4298
(210) 483-8883
Mailing address
102 HERWECK DR, SAN ANTONIO, TX 78213-3329
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
T0135
TX
207RI0011X
Interventional Cardiology Physician
Primary
T0135
TX
Other
Enumeration date
04/08/2015
Last updated
03/29/2022
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