Individual
ALLISON VIRGINIA BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
9835 N LAKE CREEK PKWY, AUSTIN, TX 78717-6210
(737) 229-2000
Mailing address
5113 WINSBURY DR, GEORGETOWN, TX 78626-7733
(512) 987-4135
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
AP136650
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
AP136650
TX
Other
Enumeration date
09/21/2017
Last updated
08/26/2025
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