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Individual

GIDGETT MARIE BATES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
5500 KELL BLVD STE 100, WICHITA FALLS, TX 76310-1612
(940) 264-2273
(940) 257-2854
Mailing address
5500 KELL BLVD STE 100, WICHITA FALLS, TX 76310-1612
(940) 264-2273
(940) 264-7379

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1017545
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1017545
TX

Other

Enumeration date
10/22/2020
Last updated
03/30/2026
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