Individual
EDWARD E BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
921 E FM 1187 STE A, CROWLEY, TX 76036-4364
(682) 250-5700
(682) 250-5705
Mailing address
6251 OAKMONT BLVD, FORT WORTH, TX 76132-3119
(682) 250-5700
(682) 250-5705
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
K3552
TX
207R00000X
Internal Medicine Physician
Primary
K3552
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113352202
—
TX
05
—
113352205
—
TX
Enumeration date
07/27/2005
Last updated
04/22/2026
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