SearchOklahoma171M00000X

Skylar Bautista

NPI 1457190647 · on the registry since 2024 · sole proprietor

Practice

Address
101 S Hudson St
Altus, OK 73521
Phone
(580) 688-2800
Organisation at this address
Shortgrass Community Health Center, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
171M00000X
171M00000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-06-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma