Individual
MRS. FREIDA CARROLYN BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1518 RALSTON BRANCH WAY, SUGAR LAND, TX 77479
(936) 328-9990
Mailing address
100 MEDICAL DR, BORGER, TX 79007-7579
(936) 328-9990
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
452164
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003492803
—
TX
05
—
163477602
—
TX
05
—
163477609
—
TX
01
—
83815U
BCBSTX
TX
01
—
8490UB
BCBS
TX
01
—
86620U
BCBSTX
TX
01
—
8754UA
BCBSTX
TX
Enumeration date
05/27/2005
Last updated
05/04/2016
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