MEDICARE: SHARON WOOD BATES L..P.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
1	101YM0800X	Mental Health Counselor	09967	TX

General Provider Information

NPI Number	:	1730184664
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON WOOD BATES L..P.C.

Provider Business Mailing Address
First Line	:	5524 BEE CAVE RD
Second Line	:	STE I2
City	:	AUSTIN
State	:	TX
Zip	:	78746-5246
Country	:	US
Telephone Number	:	512-328-6885
Fax Number	:	830-598-5977

Provider Business Practice Location Address
First Line	:	5524 BEE CAVE RD
Second Line	:	STE I2
City	:	AUSTIN
State	:	TX
Zip	:	78746-5246
Country	:	US
Telephone Number	:	512-328-6885
Fax Number	:	830-598-5977

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	07/08/2007

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