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NPI Code Detail

MEDICARE: VICKI LYNN BATEMAN PA-C

MEDICARE: VICKI LYNN BATEMAN PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA113290TX

General Provider Information

NPI Number : 1437256237
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICKI LYNN BATEMAN PA-C
Provider Business Mailing Address
First Line : 3003 PIPING ROCK
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78253-5114
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7603 CULEBRA RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78251-1437
Country : US
Telephone Number : 210-680-0299
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2006
Last Update Date : 02/11/2019

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