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NPI Code Detail

MEDICARE: TERESA BATES L.V.N

MEDICARE:   TERESA  BATES  L.V.N
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
1164X00000XLicensed Vocational Nurse153707TX

General Provider Information

NPI Number : 1467866343
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERESA BATES L.V.N
Provider Business Mailing Address
First Line : 1500 CIRCLE DR STE 300
Second Line :
City : FORT WORTH
State : TX
Zip : 76119-8118
Country : US
Telephone Number : 817-413-6312
Fax Number : 817-413-6313
Provider Business Practice Location Address
First Line : 1500 CIRCLE DR STE 300
Second Line :
City : FORT WORTH
State : TX
Zip : 76119-8118
Country : US
Telephone Number : 817-413-6312
Fax Number : 817-413-6313
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2014
Last Update Date : 06/18/2014

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Directions to “ TERESA BATES L.V.N” Practice Location

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