Bautista, Marissa Lourdes

Bautista, Marissa Lourdes is an sole proprietor health care provider with primary practice located at 1400 Medical Center Dr , Ennis TX 75119-1587. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Bautista, Marissa Lourdes can be contacted via phone (972) 875-4800.

Contact Information

Primary practice address
1400 Medical Center Dr Ennis TX 75119-1587
Phone: (972) 875-4800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1226965 Texas

Profile Details

NPI number 1902236110
LBN Legal business name Bautista, Marissa Lourdes
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 25th, 2013
Last updated Nov 25th, 2013 - about 11 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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