Provider Demographics
NPI:1922318260
Name:BATES, WHITNEY BROOKE (DOCTOR OF PHARMACY)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:BROOKE
Last Name:BATES
Suffix:
Gender:F
Credentials:DOCTOR OF PHARMACY
Other - Prefix:
Other - First Name:WHITNEY
Other - Middle Name:BROOKE
Other - Last Name:EARNHART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:29822 BUFFALO CANYON DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-3182
Mailing Address - Country:US
Mailing Address - Phone:281-719-5351
Mailing Address - Fax:
Practice Address - Street 1:420 N FRAZIER ST
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77301-2882
Practice Address - Country:US
Practice Address - Phone:936-494-0424
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-20
Last Update Date:2010-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX46847183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist