Organization · Type 2 NPI
Teofilo S. Bautista, M.d., P.c
Primary Care Clinic/Center · Gary, IN
NPI number
1215110200
Active
Practice location
642 S Lake St
Gary, IN 46403-2967
Fax (219) 938-6480
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 01032450A (IN) |
Primary Care Clinic/Center: Definition to come...
2 other providers at this address
Other primary care clinic/center providers in Gary
- Ig Health & VitalityPrimary Care Clinic/Center Gary, IN NPI 1043901689
- Claudette Dandridge M.d.Primary Care Clinic/Center Gary, IN NPI 1245502947
- Helps Clinic and Resource Center, IncPrimary Care Clinic/Center Gary, IN NPI 1407518806
- Count To Ten, IncPrimary Care Clinic/Center Gary, IN NPI 1740470442
About NPI 1215110200
Teofilo S. Bautista, M.d., P.c's National Provider Identifier is 1215110200, issued on Dec 12, 2007. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Gary, IN. The record was last updated on Dec 12, 2007.