VICENTE BAUTISTA

EDINBURG, TX
NPI1124038336
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA 04805)
Enumeration Date2006-08-09
Last Update Date2019-07-15
Business Address
VICENTE BAUTISTA PA
1102 W TRENTON RD
EDINBURG, TX 78539-9105
Phone number: 956-388-6000
Mailing Address
VICENTE BAUTISTA PA
200 CORPORATE BLVD
LAFAYETTE, LA 70508-3870
Phone number: 800-893-9698