Bautista, Gonzalo

Bautista, Gonzalo is an individual health care provider with primary practice located at 700 Scott And White Dr , College Station TX 77845-6441. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Bautista, Gonzalo can be contacted via phone (979) 207-0100.

Contact Information

Primary practice address
700 Scott And White Dr College Station TX 77845-6441
Phone: (979) 207-0100
Fax: (979) 207-2161
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP124090 Texas

Profile Details

NPI number 1700220795
LBN Legal business name Bautista, Gonzalo
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2013
Last updated Dec 7th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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