Organization · Type 2 NPI

Teofilo S. Bautista, M.d., P.c

Primary Care Clinic/Center · Gary, IN

NPI number 1215110200 Active

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.