Bautista, Vicente

Bautista, Vicente is an individual health care provider with primary practice located at 1102 W Trenton Rd , Edinburg TX 78539-9105. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Bautista, Vicente can be contacted via phone (956) 388-6000.

Contact Information

Primary practice address
1102 W Trenton Rd Edinburg TX 78539-9105
Phone: (956) 388-6000
Fax: (956) 388-6071
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA 04805 Texas

Profile Details

NPI number 1124038336
LBN Legal business name Bautista, Vicente
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Jul 15th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1124038336 NPPES
Texas Other PA04805 PHYSICIAN ASSISTANTS

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