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NPI Code Detail

MEDICARE: DR. LAURA BATES D.C.

MEDICARE: DR. LAURA BATES D.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
1111N00000XChiropractor13083TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
113083OTHERTXTEXAS BOARD OF CHIROPRACTIC

General Provider Information

NPI Number : 1518324854
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAURA BATES D.C.
Provider Business Mailing Address
First Line : PO BOX 700688
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78270-0688
Country : US
Telephone Number : 210-477-7654
Fax Number : 210-468-0682
Provider Business Practice Location Address
First Line : 2000 E LAMAR BLVD STE 600
Second Line :
City : ARLINGTON
State : TX
Zip : 76006-7361
Country : US
Telephone Number : 800-404-6050
Fax Number : 866-313-3397
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2016
Last Update Date : 07/10/2019

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