Individual
MR. HERBERT VISPERAS BAUTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN, AGPCNP
Contact information
Practice address
6901 SNIDER PLZ STE 130, DALLAS, TX 75205-5649
(214) 696-8033
Mailing address
5128 PINEWOOD DR, MCKINNEY, TX 75071-8391
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AP142934
TX
Other
Enumeration date
08/19/2019
Last updated
02/01/2022
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