Provider Demographics
NPI:1043268832
Name:BATEMAN, JANETTE KNIGHT (MD)
Entity type:Individual
Prefix:DR
First Name:JANETTE
Middle Name:KNIGHT
Last Name:BATEMAN
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Gender:F
Credentials:MD
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Mailing Address - Street 1:3203 BROADWAY ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77581-4501
Mailing Address - Country:US
Mailing Address - Phone:281-485-8876
Mailing Address - Fax:281-997-3547
Practice Address - Street 1:3203 BROADWAY ST
Practice Address - Street 2:SUITE 100
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77581-4501
Practice Address - Country:US
Practice Address - Phone:281-485-8876
Practice Address - Fax:281-997-3547
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2008-03-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXJ8451207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX20-4923281OtherTAX ID
TXG-52698Medicare UPIN