Individual
JEFFREY BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1507 W MAIN ST, GATESVILLE, TX 76528-1024
(254) 865-8251
(254) 248-6306
Mailing address
425 ARROWHEAD POINT RD, BELTON, TX 76513-6763
(254) 865-8251
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
TXBL1525
TX
208M00000X
Hospitalist Physician
L1525
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142205701
—
TX
01
—
83697X
BLUE CROSS BLUE SHIELD
TX
Enumeration date
10/04/2006
Last updated
04/04/2023
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