Provider Demographics
NPI:1245003557
Name:BATEMAN, LCENA D
Entity type:Individual
Prefix:
First Name:LCENA
Middle Name:D
Last Name:BATEMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1884 EASTLINE RD
Mailing Address - Street 2:
Mailing Address - City:BELLS
Mailing Address - State:TX
Mailing Address - Zip Code:75414-2842
Mailing Address - Country:US
Mailing Address - Phone:903-294-8554
Mailing Address - Fax:
Practice Address - Street 1:7240 CHASE OAKS BLVD
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75025-5901
Practice Address - Country:US
Practice Address - Phone:844-999-0019
Practice Address - Fax:888-678-6794
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-30
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1140488363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology