Doctor Name: | ASHLEY RENEE BATES |
NPI Number: | 1073886081 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 720 S Mahan Ave El Reno, OK - 730365132 |
Business Phone Number: | 4052456199 |
Business Fax Number: | |
Mailing Address: | 720 S Mahan Ave, EL RENO |
State: | OK |
Postal Code: | 730365132 |
Phone Number: | 4052456199 |
Fax Number: | |
NPI Enumeration Date: | 02/22/2012 |
NPI Last Update Date: | 02/22/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0801X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
Taxonomy Definition: |