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Individual

DWIGHT LEON BATES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7208
(214) 648-8259
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 648-8259

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
0707
TX

Other

Enumeration date
10/19/2006
Last updated
03/31/2008
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