Marissa Lourdes Bautista

NPI 1902236110 · on the registry since 2013 · sole proprietor

Practice

Address: 1400 Medical Center Dr
Ennis, TX 75119
Phone: (972) 875-4800
Organisation at this address: Legend Oaks - Ennis, Llc
Arcure Medical Consulting Pllc
Eastland Memorial Hospital District
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: Physical Therapist
225100000X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2013-11-25

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 Texas