Bates, Evan S

Bates, Evan S is an individual health care provider with primary practice located at 8230 Walnut Hill Lane Ste 420, Dallas TX 75231-4400. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Bates, Evan S can be contacted via phone (214) 265-0800.

Contact Information

Primary practice address
8230 Walnut Hill Lane Ste 420 Dallas TX 75231-4400
Fax: (214) 265-1027
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X J1619 Texas

Profile Details

NPI number 1790739746
LBN Legal business name Bates, Evan S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Oct 1st, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790739746 NPPES
Texas Other 4234288 AETNA PROVIDER NUMBER
Texas Other 040005350 AETNA PROVIDER NUMBER
Texas Other 88X321 AETNA PROVIDER NUMBER

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