Provider Demographics
NPI:1265609994
Name:OATES, JOYCE M (MD)
Entity type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:M
Last Name:OATES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:181 N ARROYO GRANDE BLVD
Mailing Address - Street 2:100B
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-1624
Mailing Address - Country:US
Mailing Address - Phone:702-521-4625
Mailing Address - Fax:
Practice Address - Street 1:181 N ARROYO GRANDE BLVD
Practice Address - Street 2:100B
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-1624
Practice Address - Country:US
Practice Address - Phone:702-521-4625
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-12
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVMD 61042084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry