Teofilo S Bautista in Gary - Family Medicine
Teofilo S Bautista - NPI 1801894076
Teofilo S Bautista is a Family Medicine in Gary, Indiana. Teofilo S Bautista practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Teofilo S Bautista is 1801894076. The last update date is 2013-01-29.
Teofilo S Bautista's current location address is 642 S Lake St, Gary, Indiana. You can contact this provider via phone number 2199384481 and fax number 2199386480. The mailing address for Teofilo S Bautista is 642 S Lake St, Gary, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Teofilo S Bautista |
|---|---|
| Address | 642 S Lake St, Gary, Indiana |
| Phone Number | 2199384481 |
| Fax Number | 2199386480 |
| Sole Proprietor | N |
| Credentials | M.D., P.C. |
NPI Number Detail
| NPI Number | 1801894076 |
|---|---|
| Provider Enumeration Date | 2005-07-12 |
| Last Updated Date | 2013-01-29 |
Provider Mailing Address Detail
| Address | 642 S Lake St |
|---|---|
| City | Gary |
| State | Indiana (IN) |
| Post Code | 4640329670 |
| Phone Number | 2199384481 |
| Fax Number | 2199386480 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 1032450 |
|
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100169010A | IN | -- |
Post Comment/ Review Below
What is the Teofilo S Bautista's unique identification number?
The Teofilo S Bautista has been assigned the NPI (National Provider Identifier) Number 1801894076 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Teofilo S Bautista's physical address?
The Teofilo S Bautista is physically located at 642 S Lake St, in the city of Gary, IN, with the postal code 4640329670.
What is Teofilo S Bautista's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Teofilo S Bautista is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
On what date did Teofilo S Bautista receive its 1801894076 assignment from the Centers for Medicare & Medicaid Services?
The Teofilo S Bautista was assigned its 1801894076 on 2005-07-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Teofilo S Bautista's details last updated?
The information pertaining to the Teofilo S Bautista, including its address, specialty, and other details, was most recently updated on 2013-01-29.