JEREMIAH E BAST

VICTORIA, TX
NPI1790270106
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  AP137843)
Enumeration Date2018-06-27
Last Update Date2020-08-27
Business Address
JEREMIAH E BAST FNP-C
605 E SAN ANTONIO ST STE 509E
VICTORIA, TX 77901-6079
Phone number: 361-573-6351
Mailing Address
JEREMIAH E BAST FNP-C
112 BROOKWOOD
VICTORIA, TX 77901-3818
Phone number: 361-218-9585