Individual
GORDON WRIGHT BATES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 994-0371
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
L8277
TX
207VE0102X
Reproductive Endocrinology Physician
28368
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009911529
—
AL
05
—
009911531
—
AL
05
—
009911532
—
AL
05
—
009911533
—
AL
01
—
051543654
BCBS
AL
01
—
051543655
BCBS
AL
01
—
051543656
BCBS
AL
01
—
051543657
BCBS
AL
Enumeration date
09/16/2005
Last updated
01/28/2022
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