Teofilo S. Bautista, M.D., P.C in Gary - Primary Care

Teofilo S. Bautista, M.D., P.C - NPI 1215110200

Teofilo S. Bautista, M.D., P.C is a Primary Care in Gary, Indiana. Teofilo S. Bautista, M.D., P.C practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Teofilo S. Bautista, M.D., P.C is 1215110200. The last update date is 2007-12-12.

Teofilo S. Bautista, M.D., P.C'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, M.D., P.C is 642 S Lake St, Gary, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Teofilo S. Bautista, M.D., P.C
Address 642 S Lake St, Gary, Indiana
Phone Number 2199384481
Fax Number 2199386480
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Bautista Teofilo
Credentials M.D.
Telephone Number 2199384481

NPI Number Detail

NPI Number 1215110200
Provider Enumeration Date 2007-12-12
Last Updated Date 2007-12-12

Provider Mailing Address Detail

Address 642 S Lake St
City Gary
State Indiana (IN)
Post Code 464032967
Phone Number 2199384481
Fax Number 2199386480

Provider's Primary Taxonomy Detail

Speciality Primary Care
Taxonomy 261Qp2300X
Licence No 01032450A
Definition:
Serves as the first point of contact for comprehensive healthcare services.

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FAQs about Teofilo S. Bautista, M.D., P.C

What is the unique identification code assigned to Teofilo S. Bautista, M.D., P.C by the Centers for Medicare & Medicaid Services?

The Teofilo S. Bautista, M.D., P.C has been issued the NPI (National Provider Identifier) 1215110200. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Teofilo S. Bautista, M.D., P.C is geographically located?

The Teofilo S. Bautista, M.D., P.C is physically situated at the following location: 642 S Lake St, Gary, IN, 464032967.

What is Teofilo S. Bautista, M.D., P.C'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, M.D., P.C is Primary Care, and the taxonomy code that classifies this field of practice is 261Qp2300X.

On what date did the Centers for Medicare & Medicaid Services assign the 1215110200 to Teofilo S. Bautista, M.D., P.C?

The Centers for Medicare & Medicaid Services assigned the 1215110200 to Teofilo S. Bautista, M.D., P.C on 2007-12-12.

When was the information regarding Teofilo S. Bautista, M.D., P.C, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Teofilo S. Bautista, M.D., P.C, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-12-12.

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