MARYSE EMMERENCIA BAKOUETILA

IRVING, TX
NPI1871084632
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: TX  T3586)
Enumeration Date2018-05-28
Last Update Date2021-11-17
Business Address
Dr. MARYSE EMMERENCIA BAKOUETILA MD
2021 N MACARTHUR BLVD STE 350
IRVING, TX 75061-2217
Phone number: 972-817-1600
Mailing Address
Dr. MARYSE EMMERENCIA BAKOUETILA MD
10902 SHETTLESTON DR
RICHMOND, TX 77407-2809
Phone number: 936-649-2520