Provider Demographics
NPI:1124007257
Name:BATES, ROSEMARY A (MD)
Entity Type:Individual
Prefix:DR
First Name:ROSEMARY
Middle Name:A
Last Name:BATES
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:6300 STONEWOOD DR
Mailing Address - Street 2:302
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-5280
Mailing Address - Country:US
Mailing Address - Phone:972-943-8597
Mailing Address - Fax:469-467-0008
Practice Address - Street 1:6300 STONEWOOD DR
Practice Address - Street 2:302
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-5280
Practice Address - Country:US
Practice Address - Phone:972-943-8597
Practice Address - Fax:469-467-0008
Is Sole Proprietor?:No
Enumeration Date:2006-01-17
Last Update Date:2016-09-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXK4631207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG88509Medicare UPIN
TX00864JMedicare ID - Type Unspecified