Individual
MRS. TEENA JANE BATES
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN,CPNP
Contact information
Practice address
510 S 12TH ST, WACO, TX 76706-1712
(254) 757-2929
(254) 757-3015
Mailing address
PO BOX 662, WACO, TX 76703-0662
(254) 767-2929
(254) 757-3015
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
526016
TX
Other
Enumeration date
05/04/2006
Last updated
07/09/2007
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