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Teofilo Bautista, M.D., P.C
NPI 1801894076 · on the registry since 2005
Practice
- Address
- 642 S Lake St
Gary, IN 46403 - Phone
- (219) 938-4481
- Fax
- (219) 938-6480
- Organisation at this address
- Nwi Primary Care Llc
Teofilo S. Bautista, M.D., P.CInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-01-29
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 Indiana