Individual provider · NPI-1
Dr. Jerry Alan Bates, M.D.
Psychiatry & Neurology, Neurology · Rockwall, TX
NPI number1710034095
StatusActive
Last updated in NPPESJan 27, 2016
Details
- NPI
- 1710034095
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jerry Alan Bates
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 5, 2007
- Last updated
- Jan 27, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | 300857 | LA | Yes |
| 207R00000X | Internal Medicine | 01063076A | IN | |
| 390200000X | Student in an Organized Health Care Education/Training Program | 01063076A | IN | |
| 2084N0400X | Psychiatry & Neurology, Neurology | 01063076A | IN |
Practice location
714 Calm Crest DrRockwall, TX 75087-6454
Phone 972-974-2952
Mailing address
714 Calm Crest DrRockwall, TX 75087-6454
Phone 972-974-2952
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