Individual
MR. LEROY ANTHONY BATES IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS,LAT,ATC
Contact information
Practice address
12464 TIERRA ENCINO DR, EL PASO, TX 79938-4524
(915) 490-1387
Mailing address
12464 TIERRA ENCINO DR, EL PASO, TX 79938-4524
(915) 490-1387
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT6734
TX
Other
Enumeration date
07/11/2017
Last updated
07/21/2022
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