Individual
DR. BRIAN BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 N SANTA ROSA ST, SAN ANTONIO, TX 78207-3108
(210) 704-3321
(210) 704-4527
Mailing address
315 N SAN SABA STE 1135, SAN ANTONIO, TX 78207-3255
(210) 704-3321
(210) 704-4527
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
H4156
TX
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
H4156
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135339304
—
TX
05
—
135339308
—
TX
01
—
89X601
BCBS
TX
Enumeration date
01/13/2006
Last updated
02/11/2021
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