Organization
BATES FAMILY PRACTICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA BATES FNP (OWNER)
(512) 554-4523
Entity
Organization
Contact information
Practice address
520 E BETHANY HOME RD, PHOENIX, AZ 85012-1207
(602) 726-3301
(602) 654-3300
Mailing address
520 E BETHANY HOME RD, PHOENIX, AZ 85012-1207
(602) 726-3301
(602) 654-3300
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
03/05/2021
Last updated
11/21/2023
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