Individual
JESSICA LYNNE BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
6300 OCEAN DR, CORPUS CHRISTI, TX 78412-5599
(361) 825-2207
Mailing address
6300 OCEAN DR # 5820, CORPUS CHRISTI, TX 78412-5599
(361) 825-2207
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT6013
TX
Other
Enumeration date
07/08/2018
Last updated
09/04/2024
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