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Individual

MR. EDUARDO BAUTISTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RT AART

Contact information

Practice address
625 EAST PRICE RD, BROWNSVILLE, TX 78521
(956) 831-2257
Mailing address
155 LINDALE DR, BROWNSVILLE, TX 78521
(956) 831-2257
(956) 831-2257

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
17654
TX

Other

Enumeration date
08/16/2006
Last updated
10/17/2007
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