Healthcare Provider Details

I. General information

NPI: 1689195992
Provider Name (Legal Business Name): GPCH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2017
Last Update Date: 08/07/2024
Certification Date: 08/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 MEDICAL PLZ
BORGER TX
79007
US

IV. Provider business mailing address

100 MEDICAL DR
BORGER TX
79007-7579
US

V. Phone/Fax

Practice location:
  • Phone: 806-467-5350
  • Fax: 806-275-9282
Mailing address:
  • Phone: 806-467-5706
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DONALD EARL BATES JR.
Title or Position: CEO
Credential:
Phone: 806-467-5700