=====================================================
General NPI Number Information
=====================================================
NPI Number | 1154525152
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ROSEMARY A. BATES, M.D., P.A.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/13/2007
-----------------------------------------------------
Last Update Date | 11/13/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6300 STONEWOOD DR SUITE 302
-----------------------------------------------------
City | PLANO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75024-5280
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 972-943-8597
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6300 STONEWOOD DR SUITE 302
-----------------------------------------------------
City | PLANO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75024-5280
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 972-943-8597
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. ROSEMARY ANNE BATES
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 972-943-8597
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 202C00000X
-----------------------------------------------------
Taxonomy Name | Independent Medical Examiner Physician
-----------------------------------------------------
License Number | K4631
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------