Individual
DR. BRANDON PAT BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
617 3RD ST, GRAHAM, TX 76450-3101
(940) 549-2259
(940) 549-2886
Mailing address
617 3RD ST, GRAHAM, TX 76450-3101
(940) 549-2259
(940) 549-2886
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
32233
TX
103TC0700X
Clinical Psychologist
954
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
274009
COMPSYCH
TX
01
—
87205A
BLUE CROSS BLUE SHIELD
TX
01
—
9428355
PHCS
TX
Enumeration date
05/04/2006
Last updated
07/08/2007
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