Individual
MR. JEFFREY DANIEL BATEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
WILFORD HALL AMBULATORY SURGICAL CENTER, 2200 BERGQUIST DR, LACKLAND, TX 78236
(210) 292-7412
Mailing address
3003 PIPING ROCK, SAN ANTONIO, TX 78253-5114
(228) 229-9586
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110003686
VA
Other
Enumeration date
01/25/2006
Last updated
01/16/2019
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