Individual
MR. HOUSTON ONEAL BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.P.T.
Contact information
Practice address
245 CAHABA VALLEY PKWY, SUITE 200, PELHAM, AL 35124-2216
(205) 942-6820
(205) 942-5627
Mailing address
PO BOX 244, 1418 PATRICK ST., WAVERLY, AL 36879-0244
(334) 501-8837
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH4485
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-31616
BLUE CROSS BLUE SHIELD
AL
Enumeration date
10/23/2006
Last updated
07/08/2007
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