Individual
MARCUS PATRICK BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
6770 BERTNER AVE STE C355, HOUSTON, TX 77030-2604
(832) 355-3000
Mailing address
1 BAYLOR PLAZA MS:BCM 390, HOUSTON, TX 77030-3411
(832) 355-3000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP145119
TX
363LA2100X
Acute Care Nurse Practitioner
AP145119
TX
Other
Enumeration date
02/14/2020
Last updated
10/23/2024
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