Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife |
NPI | 1124301130 |
---|---|
Provider Name | Mrs. Melissa Rhea Bates |
First Address | Katy, TX 77494-3038 |
Second Address | Katy, TX 77494-3038 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2011 |
Last Update Date | 26/09/2011 |