1982754933 NPI number — DR. GAYLON MURRELL BATES MD

Table of content: DR. GAYLON MURRELL BATES MD (NPI 1982754933)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982754933 NPI number — DR. GAYLON MURRELL BATES MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BATES
Provider First Name:
GAYLON
Provider Middle Name:
MURRELL
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BATES
Provider Other First Name:
GAYLON
Provider Other Middle Name:
MURRELL
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1982754933
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
400 DOWNS LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ALEXANDRIA
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
71303-7784
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
318-487-4302
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
100 PINECREST DRIVE
Provider Second Line Business Practice Location Address:
PINECREST DEVELOMENTAL CENTER
Provider Business Practice Location Address City Name:
PINEVILLE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
71361-5191
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
318-641-2000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/11/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208000000X , with the licence number:  07224R , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)