Juanita Lashet Bates Valid NPI
Individual provider · Preferred Provider Organization · Manvel, TX
- NPI
- 1396048708
- Type
- Individual (Type 1)
- Primary specialty
- Preferred Provider Organization
- Specialty group
- Managed Care Organizations
- Taxonomy code
- 305R00000X
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2010-12-08
- Last updated
- 2020-07-24
Practice location
7022 Limestone Cir
Manvel, TX 77578-5274
(832) 665-5111