Individual
JASON BATES FLEMING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(813) 745-1432
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
J2874
TX
2086X0206X
Surgical Oncology Physician
Primary
ME133176
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020035501
RR MCR (MDACC)
TX
05
—
117950903
—
TX
05
—
117950904 (MDACC)
—
TX
01
—
82M969
BCBS (MDACC)
—
Enumeration date
04/18/2006
Last updated
07/21/2022
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