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NPI Code Detail

MEDICARE: LCENA D BATEMAN

MEDICARE: LCENA D BATEMAN
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
1363LG0600XGerontology Nurse Practitioner1140488TX

General Provider Information

NPI Number : 1245003557
Entity Type Code : Individual
Provider Name (Legal Business Name) : LCENA D BATEMAN
Provider Business Mailing Address
First Line : 1884 EASTLINE RD
Second Line :
City : BELLS
State : TX
Zip : 75414-2842
Country : US
Telephone Number : 903-294-8554
Fax Number :
Provider Business Practice Location Address
First Line : 7240 CHASE OAKS BLVD
Second Line :
City : PLANO
State : TX
Zip : 75025-5901
Country : US
Telephone Number : 844-999-0019
Fax Number : 888-678-6794
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/30/2023
Last Update Date : 01/22/2025

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Directions to “ LCENA D BATEMAN ” Practice Location

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