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

LBN: Teofilo S. Bautista, M.D., P.C
Teofilo S. Bautista, M.D., P.C is an health care organization with primary practice located at 642 S Lake St , Gary IN 46403-2967. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Teofilo S. Bautista, M.D., P.C can be contacted via phone (219) 938-4481, or through Bautista, Teofilo via phone (219) 938-4481.

Contact Information

Primary practice address
642 S Lake St Gary IN 46403-2967
Phone: (219) 938-4481
Fax: (219) 938-6480
Website:
Map and Directions
Authorized official contact:
Name: Bautista, Teofilo Doctor of Medicine (MD)
Phone: (219) 938-4481

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 01032450A Indiana

Profile Details

NPI number 1215110200
LBN Legal business name Teofilo S. Bautista, M.D., P.C
DBA Doing business as
Authorized official Bautista, Teofilo Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 2007
Last updated Dec 12th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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