TEOFILO S. BAUTISTA, M.D., P.C

NPI # 

Practice Address:

642 S Lake St

Gary, IN, 46403-2967

Practice Phone:

219-938-4481

Practice Fax:

219-938-6480

License Number:

01032450A

License State:

IN

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Primary Care

Taxonomy Code:

261QP2300X

Updated by NPPES on 12/12/2007. You can view the original data set for NPI # 1215110200 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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TEOFILO S. BAUTISTA, M.D., P.C's

CMS CPT® coding data

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TEOFILO S. BAUTISTA, M.D., P.C's

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