Stephen J Bates, M.D.

Individual provider Active NPI Obstetrics & Gynecology Physician · Palestine, TX

NPI 1114919271 · NPPES record last updated Jun 6, 2013

Key facts

NPI
1114919271
Entity type
Individual (NPI type 1)
Primary specialty
Obstetrics & Gynecology Physician 207V00000X
License
F3738 (TX)
Practice address
115 Medical Dr
Palestine, TX 75801-4781
Phone
(903) 723-8554
Fax
(903) 723-2054
NPI assigned
Aug 16, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
East Texas Medical Alliance LLP Obstetrics & Gynecology Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X F3738 TX Yes

Addresses

Primary practice location

115 Medical Dr
Palestine, TX 75801-4781

Mailing address

115 Medical Dr
Palestine, TX 75801-4781
Phone (903) 723-8554

Other identifiers

IdentifierTypeStateIssuer
131709104MedicaidTX

Other providers in Palestine, TX

All providers in Palestine, TX · Obstetrics & Gynecology Physician in Texas

Sources for this page

Verify at the official NPI Registry.